OrganizationActive
Great Lakes Independent Eyecare Network LLC
NPI 1235487406 · Exclusive Provider Organization · Vulcan, MI
Provider details
- NPI number
- 1235487406
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Heidi Johnson, President
Practice location
W4790 Ski View Rd
Vulcan, MI 49892-8720
Phone: (877) 488-8900
Fax: (844) 810-8643
Mailing address
2425 Ludington St
Escanaba, MI 49829-1328
Registry dates
- Enumerated
- 2012-08-20
- Last updated
- 2024-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.