Great Lakes Independent Eyecare Network LLC
NPI 1235487406ActiveOrganization· Exclusive Provider Organization· Vulcan, MI
Exclusive Provider Organization in Vulcan, Michigan, registered in NPPES in August 2012. The authorized official on file is Heidi L. Johnson, OD, President.
Overview
| NPI | 1235487406 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2012 |
| Last updated in NPPES | Apr 10, 2024 |
| Certified by provider | Apr 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|