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LAKESHORE VISION CENTERS LTD
NPI 1073663704
Clinic/Center in Kewaunee, WI

Active since January 12, 2007
1217 ELLIS ST, KEWAUNEE, WI 54216(920) 388-2020(920) 388-3594 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lakeshore Vision Centers Ltd NPPES

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

LAKESHORE VISION CENTERS LTD (NPI 1073663704) is a healthcare organization registered as a clinic/center in Kewaunee, Wisconsin and active in the NPI registry since January 2007. The organization lists Susan A Gorz, Co Owner Vice President, as its authorized official.

NPPES Registry Identity

NPI1073663704
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKESHORE VISION CENTERS LTD
Location Address1217 ELLIS STKewaunee, WI 54216
Mailing Address1217 Ellis StKewaunee, WI 54216 · (920) 388-2020 · Fax (920) 388-3594
Phone(920) 388-2020
Fax(920) 388-3594
Organization SubpartNo
Authorized OfficialSusan A GorzCo Owner Vice President · (920) 487-2020
Enumeration DateJanuary 12, 2007
Last NPPES UpdateApril 22, 2009
✔ NPI 1073663704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1217 ELLIS ST, Kewaunee, WI 54216
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Other Identifiers 3

Medicare PINCS0632
Medicare NSC0371740001WI
Other000047383WI · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Lakeshore Vision Centers Ltd carries, from the Medicare DMEPOS supplier directory.

Lakeshore Vision Centers Ltd

DMEPOS supplier · Kewaunee, WI
✔

Accepts Medicare assignment

Lakeshore Vision Centers Ltd agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20561969
Medicare Participant SinceOctober 5, 2007
Supplier Location1217 Ellis StKewaunee, WI 54216
Phone(920) 388-2020
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

DR. SUSAN ANN GORZ OD
Optometrist
1217 ELLIS ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-2020

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 Lakeshore Vision Centers Ltd's NPI number?

The NPI number for Lakeshore Vision Centers Ltd is 1073663704. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Lakeshore Vision Centers Ltd located?

Lakeshore Vision Centers Ltd is located at 1217 Ellis St, Kewaunee, WI 54216. The listed phone number is (920) 388-2020.

What is Lakeshore Vision Centers Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Lakeshore Vision Centers Ltd accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lakeshore Vision Centers Ltd accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Lakeshore Vision Centers Ltd accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Lakeshore Vision Centers Ltd 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 Lakeshore Vision Centers Ltd was last updated on April 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.