| NPI | 1114058369 |
|---|---|
| Doing Business As | GREAT LAKES EYE CARE |
| Entity Type | Organization |
| Authorized Contact | BRENDA S. JACKS Human Resources 269-428-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-01-26 |