Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKE AVENUE EYECARE LLC
Active OrganizationLAKE AVENUE EYECARE LLC is a Eyewear Supplier organization located in GOTHENBURG, Nebraska. NPI 1396932430 is currently active in the NPPES registry. Verify at CMS.
Eyewear Supplier · GOTHENBURG, NE
Registration Details
- NPI Number
- 1396932430
- Provider Type
- Organization
- NPI Issued
- Oct 3, 2007 (18.68029416034 yrs)
- Last Updated
- Oct 27, 2022
- Licenses
-
1166 (NE)1166 (NE)
Practice Information
- Address
-
829 LAKE AVEGOTHENBURG, NE, 691381943Browse NE providers · Browse ZIP 69138
- Phone
- 3085373390
- Fax
- 3085373391
- Primary Specialty
-
Eyewear Supplier
332H00000X
- Additional Specialty
- Eyewear Supplier
Other Eyewear Supplier Organizations in GOTHENBURG, NE
| Name | NPI |
|---|---|
| GOTHENBURG-COZAD VISION CLINIC,P.C. | 1144530213 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.