Great Lakes Eye Associates, PLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

AT014727 Issued in MI

Legal business name

GREAT LAKES EYE ASSOCIATES, PLC

Practice address

944 Baldwin Rd
Suite H
Lapeer, MI 48446-3089

Phone

(810) 667-6408

Fax

(810) 667-6492

NPI assigned

Apr 2, 2007

Last updated

Jan 7, 2014By 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

Dr. Arthur J Tatge, D.O.NPI 1265403422

Title

Owner

Phone

(810) 667-6408

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• ARTHUR J TATGE, D.O. Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Arthur J Tatge, DO

  • Ophthalmology Physician
  • Lapeer, MI
  • NPI 1265403422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1689794596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 BALDWIN RD",
            "address_2": "SUITE H",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463089",
            "telephone_number": "810-667-6408",
            "fax_number": "810-667-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 BALDWIN RD",
            "address_2": "SUITE H",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463089",
            "telephone_number": "810-667-6408",
            "fax_number": "810-667-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES EYE ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "TATGE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-667-6408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "AT014727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P32946F",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4691258",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1852510715",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARTHUR J TATGE, D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Darcie Graham
• Andrew Grapentin
• Fallon Marie Grapentin
• Kimberli Gray, LLMSW
• Great Lakes Chiropractic Health Center, PC.
• Great Lakes in Home HCS, Inc. (Great Lakes In-Home Private Duty Care)
• Greater Flint Imaging Center
• Greater Lapeer Transportation Authority
• Madia Green
• Ellie Kay Greene

• Ophthalmology Physician in Lapeer, MI
• Providers in Lapeer, 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 7, 2014; 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.