Great Lakes Eye Institute

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301040619 Issued in MI

Legal business name

GREAT LAKES EYE INSTITUTE

Practice address

4624 Hill St
Cass City, MI 48726-1119

Phone

(989) 872-3800

Fax

(989) 872-4525

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Farhad Shokoohi, MD

Title

Owner/MD

Phone

(989) 793-2820

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1447434378",
    "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": "4624 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261119",
            "telephone_number": "989-872-3800",
            "fax_number": "989-872-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "SHOKOOHI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "989-793-2820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301040619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Goldberg, BT
• Golden Years Home Health Care Inc
• Angela Grass, PHARM. D
• Payton Graves
• Isiah Gray
• Green & Nahernak DDS PC
• Lauren Green
• Robert F Green, DDS
• Breanna Greenlaw
• Dakota Grifka

• Ophthalmology Physician in Cass City, MI
• Providers in Cass City, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.