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

Great Lakes Vision Rehabilitation PLLC

Organization Vision Therapy Optometrist · NPI 1962118760

Great Lakes Vision Rehabilitation PLLC is a Vision Therapy Optometrist in Shelby Township, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

48189 Van Dyke Ave
Shelby Township, MI 48317-3268
Phone: (586) 731-9725
Fax: (586) 488-0006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vision Therapy Optometrist (primary) Taxonomy 152WV0400X

Record details

NPI number1962118760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Nichols — Owner · (734) 578-8598
NPI enumeratedJanuary 25, 2023
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023
Mailing address48189 Van Dyke Ave, Shelby Township, MI 48317-3268