GREAT LAKES INDEPENDENT EYECARE NETWORK LLC

VULCAN, MI
NPI1235487406
Entity TypeOrganization
Authorized ContactHEIDI L JOHNSON
President
906-228-4401
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2012-08-20
Last Update Date2024-04-10
Business Address
GREAT LAKES INDEPENDENT EYECARE NETWORK LLC
W4790 SKI VIEW RD
VULCAN, MI 49892-8720
Phone number: 877-488-8900
Mailing Address
GREAT LAKES INDEPENDENT EYECARE NETWORK LLC
2425 LUDINGTON ST PMB 175
ESCANABA, MI 49829-1328
Phone number: 906-466-9070