LAKE CITY EYE PHYSICIANS, LLC
NPI 1235350208
Optometrist in Lake City, FL

Q: What is Lake City Eye Physicians, LLC's NPI number?

The NPI number for Lake City Eye Physicians, LLC is 1235350208. It was assigned to this organization in the NPPES registry on May 1, 2007.

Q: What is Lake City Eye Physicians, LLC's specialty?

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

Active since May 01, 2007

621 SW BAYA DR, SUITE 101, LAKE CITY, FL 32025(386) 754-6616(386) 754-6615 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Lake City Eye Physicians, Llc NPPES

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

LAKE CITY EYE PHYSICIANS, LLC (NPI 1235350208) is a healthcare organization registered as an optometrist in Lake City, Florida and active in the NPI registry since May 2007. The organization lists Reaves C Cloe, Owner, as its authorized official.

NPPES Registry Identity

NPI1235350208

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameLAKE CITY EYE PHYSICIANS, LLC

Location Address621 SW BAYA DR, SUITE 101Lake City, FL 32025-4240

Mailing Address621 Sw Baya Dr, Suite 101Lake City, FL 32025-4240 · (386) 754-6616 · Fax (386) 754-6615

Phone(386) 754-6616

Fax(386) 754-6615

Organization SubpartNo

Authorized OfficialReaves C CloeOwner · (386) 754-6616

Enumeration DateMay 1, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1235350208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · 0700004320

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.

621 SW BAYA DR, Lake City, FL 32025

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Other Identifiers 1

Other19899FL · Bcbs

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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.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)

Lake City Eye Physicians, Llc 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 Lake City Eye Physicians, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Reaves Cole, O.D.

Optometry

NPI 1407956071

621 SW BAYA DR SUITE 101
Lake City, FL 32025

(386) 754-6616

✔ 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 Lake City Eye Physicians, LLC's NPI number?

The NPI number for Lake City Eye Physicians, LLC is 1235350208. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Lake City Eye Physicians, LLC located?

Lake City Eye Physicians, LLC is located at 621 SW Baya Dr Suite 101, Lake City, FL 32025. The listed phone number is (386) 754-6616.

What is Lake City Eye Physicians, LLC's specialty?

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

Is Lake City Eye Physicians, LLC enrolled in Medicare?

Yes. Lake City Eye Physicians, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake City Eye Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Lake City Eye Physicians, LLC. 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 Lake City Eye Physicians, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Lake City Eye Physicians, LLC 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 Lake City Eye Physicians, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.