Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Lakes Retina, PLLC

Organization Ophthalmology Physician · NPI 1629878079

Great Lakes Retina, PLLC is an Ophthalmology Physician in Arlington Heights, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3438 N Old Arlington Heights Rd
Arlington Heights, IL 60004-1552
Phone: (847) 551-0049
Fax: (847) 787-1657
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Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X

Record details

NPI number1629878079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Hassan — Physician · (847) 551-0049
NPI enumeratedMarch 15, 2025
Last updated in NPPESMarch 15, 2025
Certification dateMarch 15, 2025
Mailing address3438 N Old Arlington Heights Rd, Arlington Heights, IL 60004-1552

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