Organization
GREAT LAKES EYE INSTITUTE
Active
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
406 W GENESEE ST, FRANKENMUTH, MI 48734-1311
(989) 652-2020
(989) 652-9444
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
09/29/2025
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