GREAT LAKES EYE INSTITUTE
NPI 1427090976
Ophthalmology - Retina Specialist in Saginaw, MI
NPI Status: Active since June 11, 2006
Contact Information
2393 SCHUST RD
SAGINAW, MI
ZIP 48603
Phone: (989) 793-2820
Fax: (989) 793-9132
- Organization
- Ophthalmology
- Retina Specialist
- Accepts Insurance
- CLIA Number: 23D1059394
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 09-27-2026
About GREAT LAKES EYE INSTITUTE
This page provides the complete NPI Profile along with additional information for Great Lakes Eye Institute, a provider established in Saginaw, Michigan operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1427090976 assigned on June 2006. The practitioner's primary taxonomy code is 207WX0107X with license number 4301102705 (MI). The provider is registered as an organization and their NPI record was last updated 8 years ago. Great Lakes Eye Institute operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Farhad Kayvan Shokoohi M.d. (Owner)
- NPI
- 1427090976
- Provider Name
- GREAT LAKES EYE INSTITUTE
- Entity Type
- Organization
- Location Address
- 2393 SCHUST RD SAGINAW, MI 48603
- Location Phone
- (989) 793-2820
- Location Fax
- (989) 793-9132
- Mailing Address
- 2393 SCHUST RD SAGINAW, MI 48603
- Mailing Phone
- (989) 793-2820
- Mailing Fax
- (989) 793-9132
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2006
- Last Update Date
- 01-19-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301102705
- License State
- MI
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | 43010040619 (MI) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CA3610 | OTHER (01) | MI | RR MEDICARE |
| 0G36036 | OTHER (01) | MEDICARE | |
| 180G300890 | OTHER (01) | MI | BLUE CARE NETWORK |
| 180G300890 | OTHER (01) | MI | FEDERAL EMPLOYEES PROGRAM BLUE CROSS |
| 180G300890 | OTHER (01) | MI | BLUE CROSS BLUE SHIELD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1059394
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 28, 2024
- Certificate Expiration Date
- September 27, 2026
- Laboratory Director
- FARHAD K. SHOKOOHI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Great Lakes Eye Institute to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GREAT LAKES EYE INSTITUTE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 0 | 9 | 0 | 9 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 9 | 0 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 9 + 0 + 9 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1427090976 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265542849 | GREAT LAKES EYE SURGERY CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1073798211 | GREAT LAKES EYE SURGERY CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1063680791 | GREAT LAKES EYE INSTITUTE Organization | Ophthalmology | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1225725203 | GREAT LAKES EYE SURGERY LLC Organization | Nurse Anesthetist, Certified Registered | 2393 SCHUST RD SAGINAW, MI 48603 (734) 241-3891 |
| 1114911351 | JOHN M OGRADY MD Individual | Ophthalmology | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1275526048 | FARHAD K SHOKOOHI MD Individual | Ophthalmology | 2393 SCHUST RD GREAT LAKES EYE INSTITUTE SAGINAW, MI 48603 (989) 793-2820 |
| 1295180214 | NICHOLAS DAVID SHOKOOHI M.D. Individual | Ophthalmology | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1306839535 | DR. DONALD BART DARNELL OD Individual | Optometrist | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1427041045 | KAMRAN K SHOKOOHI MD PHD Individual | Ophthalmology | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1477546240 | MAJED J SAHOURI MD Individual | Ophthalmology | 2393 SCHUST RD GREAT LAKES EYE INSTITUTE SAGINAW, MI 48603 (989) 793-2820 |
| 1518961556 | BRIAN D. DUDENHOEFER MD Individual | Ophthalmology | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1629061841 | DR. RICHARD ARDEN KAISERMAN MD Individual | Ophthalmology | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1689685463 | MOONYOUNG S CHUNG M.D. Individual | Ophthalmology | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1699939751 | KRISTINE MARIE WEAVER OD Individual | Optometrist | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
| 1780602763 | DR. SCOTT M VANDENBELT M.D. Individual | Ophthalmology | 2393 SCHUST RD SAGINAW, MI 48603 (989) 793-2820 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427090976, enumerated in the NPI registry as an "organization" on June 11, 2006
The provider is located at 2393 Schust Rd Saginaw, Mi 48603 and the phone number is (989) 793-2820
This medical organization specializes in Ophthalmology with taxonomy code 207WX0107X with a focus in Retina Specialist
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D1059394 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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