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

LAKE AVENUE EYECARE, LLC

Active Organization

LAKE AVENUE EYECARE, LLC is a Optometrist organization located in GOTHENBURG, Nebraska. NPI 1811183783 is currently active in the NPPES registry. Verify at CMS.

Optometrist · GOTHENBURG, NE

Registration Details

NPI Number
1811183783
Provider Type
Organization
NPI Issued
Sep 24, 2007 (18.704975635826 yrs)
Last Updated
Oct 27, 2022
License
1166 (NE)

Practice Information

Address
829 LAKE AVE
GOTHENBURG, NE, 691381943
Browse NE providers · Browse ZIP 69138
Phone
3085373390
Fax
3085373391
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in GOTHENBURG, NE

Name NPI
KIMBERLY JOHNSON OD LLC 1245258292
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.