NPI 1235487406
Great Lakes Independent Eyecare Network LLC
Practice location
- Address
- W4790 Ski View Rd, Vulcan, MI 49892-8720
- Phone
- (877) 488-8900
- Fax
- (844) 810-8643
- Mailing address
- 2425 Ludington St Pmb 175, Escanaba, MI 49829-1328
Authorised official
- Name
- Heidi L Johnson
- Title
- President
- Phone
- (906) 228-4401
Registered specialties
Exclusive Provider Organization
Primary
Registry record
- NPI
- 1235487406
- Entity type
- Organization
- NPI issued
- 20 Aug 2012
- Record last updated
- 10 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.