Great Lakes Eye Institute

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

4301102705 Issued in MI

Legal business name

GREAT LAKES EYE INSTITUTE

Practice address

2393 Schust Rd
Saginaw, MI 48603-1334

Phone

(989) 793-2820

Fax

(989) 793-9132

NPI assigned

Jun 11, 2006

Last updated

Sep 29, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Farhad Kayvan Shokoohi, M.D.NPI 1275526048

Title

Owner

Phone

(989) 793-2820

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MI3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Bay City, MI
  • NPI 1003437823

  5799699534

  Same PAC ID
• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1063680791

  5799699534

  Same PAC ID
• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Alma, MI
  • NPI 1346424272

  5799699534

  Same PAC ID
• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Frankenmuth, MI
  • NPI 1841474772

  5799699534

  Same PAC ID
• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1992985840

  5799699534

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1063680791

  O20040525000965

  Same enrollment

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farhad K Shokoohi, MD

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1275526048
  Medicare reassignment Care Compare group NPD Authorized official
• Moonyoung S Chung, M.D.

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1689685463
  Medicare reassignment Care Compare group NPD
• Brian D. Dudenhoefer, MD

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1518961556
  Medicare reassignment Care Compare group NPD
• Daniel J Lin, MD

  • Ophthalmology Physician
  • Warren, MI
  • NPI 1538158514
  Medicare reassignment Care Compare group NPD
• John M Ogrady, MD

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1114911351
  Medicare reassignment Care Compare group NPD
• Majed J Sahouri, MD

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1477546240
  Medicare reassignment Care Compare group NPD
• Kamran K Shokoohi, MD PHD

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1427041045
  Medicare reassignment Care Compare group NPD
• Nicholas David Shokoohi, M.D.

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1295180214

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Scott M Vandenbelt, M.D.

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1780602763
  Medicare reassignment Care Compare group NPD
• Patrick J Bell, OD

  • Optometrist
  • Saginaw, MI
  • NPI 1013900612
  Medicare reassignment NPD
• Donald Bart Darnell, OD

  • Optometrist
  • Saginaw, MI
  • NPI 1306839535
  Medicare reassignment NPD
• Richard Arden Kaiserman, MD

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1629061841
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1427090976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2393 SCHUST RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031334",
            "telephone_number": "989-793-2820",
            "fax_number": "989-793-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2393 SCHUST RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031334",
            "telephone_number": "989-793-2820",
            "fax_number": "989-793-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "SHOKOOHI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_middle_name": "KAYVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-793-2820",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "43010040619",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301102705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL EMPLOYEES PROGRAM BLUE CROSS",
            "identifier": "180G300890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "180G300890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "180G300890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0G36036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA3610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Retina Specialist (Ophthalmology) Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Retina Specialist (Ophthalmology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.