Great Lakes Eye Institute

NPI 1063680791 - Optometrist - 152W00000X

NPI Details
NPI 1063680791
Enumeration Date 02/15/2008
Last Updated 05/15/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name FARHAD K FARHAD
Position OWNER/MD
Phone (989) 793-2820
Fax (989) 793-9132
Practice Location
2393 SCHUST RD
SAGINAW MI, 48603-1334, US
Phone (989) 793-2820
Fax (989) 793-9132
Business Location
2393 SCHUST RD
SAGINAW MI, 48603-1334, US
Phone (989) 793-2820
Fax (989) 793-9132
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4301040619
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According to our database, Great Lakes Eye Institute NPI is 1063680791, taxonomy code is 152W00000X and license number is 4301040619, license state is located at Michigan. Great Lakes Eye Institute physically located at 2393 Schust Rd, Saginaw MI, 48603-1334. NPI Number 1033115704 has the healthcare provider type.

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1063680791 NPI number is provided on an as is basis without warranty of any kind. 1063680791 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Eye Institute are for informational purposes only.