Organization
GREAT LAKES EYE CARE PC
Active
Other names
Great Lakes Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LOCKE COOKE M.D. (PRESIDENT OWNER)
(269) 428-3300
Entity
Organization
Contact information
Practice address
2848 NILES RD, SAINT JOSEPH, MI 49085-3352
(269) 428-3300
(269) 428-5005
Mailing address
2848 NILES RD, SAINT JOSEPH, MI 49085-3352
(269) 428-3300
(269) 428-5005
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301046231
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1878128
—
MI
Enumeration date
06/09/2005
Last updated
01/26/2023
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