NPI | 1922002708 |
---|---|
Doing Business As | GREAT LAKES EYE CARE |
Entity Type | Organization |
Authorized Contact | DAVID LOCKE COOKE President Owner 269-428-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301046231) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2023-01-26 |