Provider Type Icon

GREAT LAKES VISION REHABILITATION PLLC NPI 1962118760


NPI Information

NPI: 1962118760
Provider Name: GREAT LAKES VISION REHABILITATION PLLC
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
48189 VAN DYKE AVE
SHELBY TOWNSHIP, MI
ZIP 48317
Phone: (586) 731-9725
Get Directions

GREAT LAKES VISION REHABILITATION PLLC is a vision therapy optometrist in Shelby Township, MI. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. GREAT LAKES VISION REHABILITATION PLLC NPI is 1962118760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

48189 VAN DYKE AVE
SHELBY TOWNSHIP, MI
ZIP 48317-268
Phone: (586) 731-9725
Fax: (586) 488-0006

The provider's authorized official is Aaron Nichols .
The authorized official title is Owner and has the following contact phone number (734) 578-8598.

The enumeration date for this NPI number is 1/25/2023 and was last updated on 1/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision TherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.