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LAKE SHORE RETINA, S.C. CORP
NPI 1255564258
Ophthalmology in Dandridge, TN

Active since August 25, 2009
1208 GAY ST, DANDRIDGE, TN 37725(865) 484-9948 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Shore Retina, S.c. Corp NPPES

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

LAKE SHORE RETINA, S.C. CORP (NPI 1255564258) is a healthcare organization registered as an ophthalmology in Dandridge, Tennessee and active in the NPI registry since August 2009. The organization lists Srilakshmi Maguluri, President, as its authorized official.

NPPES Registry Identity

NPI1255564258
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameLAKE SHORE RETINA, S.C. CORP
Location Address1208 GAY STDandridge, TN 37725-4720
Mailing AddressPo Box 1751Dandridge, TN 37725-1751
Phone(865) 484-9948
Organization SubpartNo
Authorized OfficialSrilakshmi MaguluriPresident · (773) 677-2962
Enumeration DateAugust 25, 2009
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1255564258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1208 GAY ST, Dandridge, TN 37725
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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 Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 Shore Retina, S.C. Corp's NPI number?

The NPI number for Lake Shore Retina, S.C. Corp is 1255564258. It was assigned to this organization in the NPPES registry on August 25, 2009.

Where is Lake Shore Retina, S.C. Corp located?

Lake Shore Retina, S.C. Corp is located at 1208 Gay St, Dandridge, TN 37725. The listed phone number is (865) 484-9948.

What is Lake Shore Retina, S.C. Corp's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

What insurance does Lake Shore Retina, S.C. Corp accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Lake Shore Retina, S.C. Corp 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 Shore Retina, S.C. Corp was last updated on January 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.