LAKESHORE VISION CENTERS LTD
NPI 1073663704
Clinic/Center in Kewaunee, WI
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
Specialties & Licenses
Other Identifiers 3
Accepted 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)
Lakeshore Vision Centers Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Lakeshore Vision Centers Ltd, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WIAccepts 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.
Medicare Product Categories
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.
Is Lakeshore Vision Centers Ltd enrolled in Medicare?
Yes. Lakeshore Vision Centers Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeshore Vision Centers Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Lakeshore Vision Centers Ltd. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, Dean Health Plan 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.
# Lakeshore Vision Centers Ltd · NPI 1073663704
Clinic/Center organization in Kewaunee, Wisconsin. Organization record, active in the CMS NPPES registry since January 12, 2007.
## Identity
- **NPI:** 1073663704 (Entity type: Organization)
- **Enumerated:** January 12, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Susan Gorz, CO OWNER VICE PRESIDENT
## Practice location
- **Address:** 1217 ELLIS ST, Kewaunee, WI 54216
- **Phone:** (920) 388-2020 · **Fax:** (920) 388-3594
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2009
- **Other identifiers:** Medicare PIN CS0632; Medicare NSC 0371740001 (WI); Other 000047383 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1073663704) · Data from the CMS NPPES public registry.