LAKE LAZER EYE CENTER
NPI 1376732388
Preferred Provider Organization in Novi, MI

Active since October 16, 2007
44000 W 12 MILE RD, SUITE 112, NOVI, MI 48377(586) 792-3891 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lake Lazer Eye Center NPPES

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

LAKE LAZER EYE CENTER (NPI 1376732388) is a healthcare organization registered as a preferred provider organization in Novi, Michigan and active in the NPI registry since October 2007. The organization lists Shabbir Khambati, Preident, as its authorized official.

NPPES Registry Identity

NPI1376732388
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameLAKE LAZER EYE CENTER
Location Address44000 W 12 MILE RD, SUITE 112Novi, MI 48377-2644
Mailing Address44000 W 12 Mile RdNovi, MI 48377-2644 · (586) 792-3891
Organization SubpartYes
Authorized OfficialShabbir KhambatiPreident · (586) 792-3891
Enumeration DateOctober 16, 2007
Last NPPES UpdateMay 6, 2008
✔ NPI 1376732388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MI · SK070791
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
44000 W 12 MILE RD, Novi, MI 48377

Other Identifiers 8

Other0501160MI · Blue Care Network
Medicare NSC6015010002MI
Medicare PIN0N32640MI
Medicare PINN32640001MI
Other140631MI · Great Lakes
OtherH42351MI · Hap
Medicaid4606945MI
Other0501160MI · Blue Cross Blue Shield

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)

Lake Lazer Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Lake Lazer Eye Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Ophthalmology
NPI 1699416560
4717 SAINT ANTOINE ST
Detroit, MI 48201
(313) 577-8900
✔ PECOS✔ Accepts Medicare24 mi
Optometry
NPI 1164805099
4646 JOHN R ST
Detroit, MI 48201
(313) 576-1000
✔ PECOS✔ Accepts Medicare25 mi
Ophthalmology
NPI 1104938257
35426 HARPER AVE
Clinton Twp, MI 48035
(586) 792-3891
✔ PECOS✔ Accepts Medicare32 mi
Optometry
NPI 1073197745
35776 HARPER AVE
Clinton Township, MI 48035
(586) 792-3891
✔ PECOS✔ Accepts Medicare32 mi

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 Lazer Eye Center's NPI number?

The NPI number for Lake Lazer Eye Center is 1376732388. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is Lake Lazer Eye Center located?

Lake Lazer Eye Center is located at 44000 W 12 Mile Rd Suite 112, Novi, MI 48377. The listed phone number is (586) 792-3891.

What is Lake Lazer Eye Center's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Lake Lazer Eye Center enrolled in Medicare?

Yes. Lake Lazer Eye Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Lazer Eye Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Lake Lazer Eye Center, in Ophthalmology and Optometry. 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 Lazer Eye Center accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lake Lazer Eye Center 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 Lazer Eye Center was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.