Great Lakes Eye Institute

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301040619 Issued in MI

Legal business name

GREAT LAKES EYE INSTITUTE

Practice address

406 W Genesee St
Frankenmuth, MI 48734-1311

Phone

(989) 652-2020

Fax

(989) 652-9444

NPI assigned

Dec 27, 2007

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 Shokoohi, MDNPI 1275526048

Title

Owner/MD

Phone

(989) 793-2820

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

  • Retina Specialist (Ophthalmology) Physician
  • Saginaw, MI
  • NPI 1427090976

  5799699534

  Same PAC ID
• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1992985840

  5799699534

  Same PAC ID

Tax ID family

Great Lakes Eye Institute4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Bay City, MI
  • NPI 1003437823
  NPD tax ID
• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1063680791
  NPD tax ID
• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Alma, MI
  • NPI 1346424272
  NPD tax ID

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.

• Farhad K Shokoohi, MD

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1275526048
  Authorized official Same address or phone

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1841474772",
    "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": "406 W GENESEE ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341311",
            "telephone_number": "989-652-2020",
            "fax_number": "989-652-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "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": []
}

• Lauri Goodwin
• Gorges Life Chiropractic, LLC
• Candace C Gorges, DC. MS.
• Emmily Granett, M.S., CRNA
• Janet Gray, LPC
• Great Lakes Pediatric Therapy
• Mark G Greenwell, MD
• Timothy Hallie Greenwood Jr., DC
• Joshua Steven Grimmer
• Kenneth Merritt Groves, D.D.S.

• Ophthalmology Physician in Frankenmuth, MI
• Providers in Frankenmuth, MI by specialty
• 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.