Great Lakes Vision Rehabilitation PLLC
NPI 1962118760ActiveOrganization· Optometrist, Vision Therapy· Shelby Township, MI
Optometrist, Vision Therapy in Shelby Township, Michigan, registered in NPPES in January 2023. The authorized official on file is Aaron Nichols, OD, Owner.
Overview
| NPI | 1962118760 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2023 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Jan 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Vision Therapy Primary | 152WV0400X | — | — |
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 |
|---|
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