LAKESIDE OPTOMETRY PC NPI 1700338779

NPI Information

  • NPI: 1700338779
  • Provider Name: LAKESIDE OPTOMETRY, PC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Address: 3461 BROOKSIDE RD STE A-1
    STOCKTON, CA
    ZIP 95219
  • Phone: (209) 451-4305

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NPI Details

LAKESIDE OPTOMETRY, PC is an optometrist in Stockton, CA. 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. LAKESIDE OPTOMETRY, PC NPI is 1700338779. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3461 BROOKSIDE RD STE A-1
STOCKTON, CA
ZIP 95219-741
Phone: (209) 451-4305
Fax: (209) 622-4283

The provider's authorized official is Chinh T. Nguyen .
The authorized official title is President and has the following contact phone number (209) 451-4305.

The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/26/2016.

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
1152W00000XOptometristOPT 12656 TPLCALIFORNIANo
2152W00000XOptometrist11714TCALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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