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LAKESHORE EYE CLINIC PC NPI 1265847073


NPI Information

NPI: 1265847073
Provider Name: LAKESHORE EYE CLINIC PC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
2500 7TH AVE S
217 STE
ESCANABA, MI
ZIP 49829
Phone: (906) 789-1400
Get Directions

LAKESHORE EYE CLINIC PC is an optometrist in Escanaba, MI. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. LAKESHORE EYE CLINIC PC NPI is 1265847073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 7TH AVE S
217 STE
ESCANABA, MI
ZIP 49829-176
Phone: (906) 789-1400
Fax: (906) 789-3457

The provider's authorized official is Andrea Mott .
The authorized official title is Owner/president and has the following contact phone number (906) 789-1400.

The enumeration date for this NPI number is 7/1/2014 and was last updated on 12/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist4901004653MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1900B10059OTHERMICHIGANBCBS
2MI7827MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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