Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Great Lakes Vision Rehabilitation PLLC

Organization Vision Therapy Optometrist · NPI 1962118760

Great Lakes Vision Rehabilitation PLLC provides Vision Therapy Optometrist services 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