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Organization

GREAT LAKES EYE INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FARHAD SHOKOOHI MD (OWNER/MD)
(989) 793-2820
Entity
Organization

Contact information

Practice address
4624 HILL ST, CASS CITY, MI 48726-1119
(989) 872-3800
(989) 872-4525
Mailing address
2393 SCHUST RD, SAGINAW, MI 48603-1334
(989) 793-2820
(989) 793-9132

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary
4301040619
MI

Other

Enumeration date
12/27/2007
Last updated
01/23/2018
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