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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKESIDE OPTOMETRY, PC

Active Organization

LAKESIDE OPTOMETRY, PC is a Optometrist organization located in STOCKTON, California. NPI 1700338779 is currently active in the NPPES registry. Verify at CMS.

Optometrist · STOCKTON, CA

Registration Details

NPI Number
1700338779
Provider Type
Organization
NPI Issued
Oct 26, 2016 (9.7906103817668 yrs)
Last Updated
Oct 26, 2016
Licenses
OPT 12656 TPL (CA)
11714T (CA)

Practice Information

Address
3461 BROOKSIDE RD STE A-1
STOCKTON, CA, 952191741
Browse CA providers · Browse ZIP 95219
Phone
2094514305
Fax
2096224283
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
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.