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

LAKESIDE VISION INC

Active Organization

LAKESIDE VISION INC is a Optometrist organization located in PRUDENVILLE, Michigan. NPI 1790789550 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PRUDENVILLE, MI

Registration Details

NPI Number
1790789550
Provider Type
Organization
NPI Issued
Jun 9, 2005 (21.169208932308 yrs)
Last Updated
Jul 16, 2008
License
MI2953 (MI)

Practice Information

Address
888 W HOUGHTON LAKE DR
PRUDENVILLE, MI, 486519451
Browse MI providers · Browse ZIP 48651
Phone
9893667525
Fax
9893665405
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in PRUDENVILLE, MI

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.