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LAKESIDE VISION, PRUDENVILLE, PC
NPI 1003557133
Optometrist in Prudenville, MI

Active since April 05, 2022
888 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651(989) 366-7525(989) 366-5405 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Vision, Prudenville, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE VISION, PRUDENVILLE, PC (NPI 1003557133) is a healthcare organization registered as an optometrist in Prudenville, Michigan and active in the NPI registry since April 2022. The organization lists Kyle Bates, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1003557133
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLAKESIDE VISION, PRUDENVILLE, PC
Location Address888 W HOUGHTON LAKE DRPrudenville, MI 48651-9451
Mailing AddressPo Box 20Prudenville, MI 48651-0020 · (989) 366-7525 · Fax (989) 366-5405
Phone(989) 366-7525
Fax(989) 366-5405
Organization SubpartNo
Authorized OfficialKyle BatesOptometrist · (989) 366-7525
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1003557133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
888 W HOUGHTON LAKE DR, Prudenville, MI 48651
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOUIS E BOGGS O.D.
Optometrist
888 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Roscommon County (989) 366-7525
LAKESIDE VISION INC
Optometrist
888 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Roscommon County (989) 366-7525
DR. KYLE SCOTT BATES OD
Optometrist
888 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Roscommon County (989) 366-7525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Vision, Prudenville, PC's NPI number?

The NPI number for Lakeside Vision, Prudenville, PC is 1003557133. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Lakeside Vision, Prudenville, PC located?

Lakeside Vision, Prudenville, PC is located at 888 W Houghton Lake Dr, Prudenville, MI 48651. The listed phone number is (989) 366-7525.

What is Lakeside Vision, Prudenville, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Lakeside Vision, Prudenville, PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and BlueCross BlueShield of Tennessee list Lakeside Vision, Prudenville, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Vision, Prudenville, PC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.