Organization
GREAT LAKES EYE CARE, P.C.
Active
Parent organization
GREAT LAKES EYE CARE, P.C.
Other names
Great Lakes Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT LAKES EYE CARE, P.C.
Authorized official
MRS. BRENDA S. JACKS B.S. (HUMAN RESOURCES)
(269) 428-3300
Entity
Organization
Contact information
Practice address
570 BROADWAY ST, SOUTH HAVEN, MI 49090-1420
(269) 637-3101
(269) 637-4000
Mailing address
2848 NILES RD, SAINT JOSEPH, MI 49085-3352
(269) 428-3300
(269) 428-5005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Enumeration date
03/08/2007
Last updated
01/26/2023
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