Great Lakes Eye Care, P.C.
NPI 1114058369 · Durable Medical Equipment & Medical Supplies · South Haven, MI
Great Lakes Eye Care, P.C. is a Durable Medical Equipment & Medical Supplies organization in South Haven, MI (NPI 1114058369).
Provider details
- NPI number
- 1114058369
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Great Lakes Eye Care, P.C.
- Organization subpart
- Yes
- Authorized official
- Brenda Jacks, Human Resources(269) 428-3300
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Great Lakes Eye Care
- Doing business as
- Great Lakes Eye Care
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Frequently asked questions
- What is Great Lakes Eye Care, P.C.'s NPI number?
- Great Lakes Eye Care, P.C.'s National Provider Identifier (NPI) is 1114058369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Eye Care, P.C.?
- Great Lakes Eye Care, P.C. is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Great Lakes Eye Care, P.C. located?
- Great Lakes Eye Care, P.C.'s practice location on file with NPPES is 570 Broadway St, South Haven, MI 49090-1420.
- What is Great Lakes Eye Care, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Eye Care, P.C. is (269) 637-3101.
- Who is the authorized official for Great Lakes Eye Care, P.C.?
- The authorized official listed on Great Lakes Eye Care, P.C.'s NPPES record is Brenda Jacks, Human Resources. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Eye Care, P.C.'s NPI active?
- Yes — Great Lakes Eye Care, P.C.'s NPI (1114058369) is active in the NPPES registry as of the last update on 2023-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.