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LAKESIDE VISION & OPTICAL P.C.
NPI 1043400062
Optometrist - Corneal and Contact Management in Plano, TX

Active since July 26, 2007
4012 PRESTON ROAD, SUITE 500, PLANO, TX 75093(872) 985-3638(972) 867-7062 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2025, Jul 21, 2022 (2 updates tracked since 2022).

About Lakeside Vision & Optical P.c. NPPES

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

LAKESIDE VISION & OPTICAL P.C. (NPI 1043400062) is a healthcare organization registered as a corneal and contact management in Plano, Texas and active in the NPI registry since July 2007. The organization lists Stacy Lynn Turner, President, as its authorized official.

NPPES Registry Identity

NPI1043400062
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameLAKESIDE VISION & OPTICAL P.C.
Location Address4012 PRESTON ROAD, SUITE 500Plano, TX 75093-7351
Mailing Address4012 Preston Rd Ste 500Plano, TX 75093-7351 · (972) 985-3638 · Fax (972) 867-7062
Phone(872) 985-3638
Fax(972) 867-7062
Organization SubpartNo
Authorized OfficialStacy Lynn TurnerPresident · (972) 985-3638
Enumeration DateJuly 26, 2007
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1043400062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
4012 PRESTON ROAD, Plano, TX 75093
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Other Names 1

Doing Business AsLakeside Vision & Optical P.c.

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeside Vision & Optical P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Vision & Optical P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Deborah Moon, O.D.
Optometry
NPI 1902972177
4012 PRESTON RD SUITE 500
Plano, TX 75093
(972) 985-3638
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 & Optical P.C.'s NPI number?

The NPI number for Lakeside Vision & Optical P.C. is 1043400062. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is Lakeside Vision & Optical P.C. located?

Lakeside Vision & Optical P.C. is located at 4012 Preston Road Suite 500, Plano, TX 75093. The listed phone number is (872) 985-3638.

What is Lakeside Vision & Optical P.C.'s specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Lakeside Vision & Optical P.C. enrolled in Medicare?

Yes. Lakeside Vision & Optical P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeside Vision & Optical P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Lakeside Vision & Optical P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeside Vision & Optical P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Lakeside Vision & Optical P.C. 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 & Optical P.C. was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.