LAKESIDE FAMILY VISION
NPI 1396408720
Clinic/Center in Alma, NE
About Lakeside Family Vision NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE FAMILY VISION (NPI 1396408720) is a healthcare organization registered as a clinic/center in Alma, Nebraska and active in the NPI registry since October 2021. The organization lists Kelly J Mclain, Optometrist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeside Family Vision is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Family Vision, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Hiawatha LLC's NPI number?
The NPI number for Hiawatha LLC is 1396408720. It was assigned to this organization in the NPPES registry on October 21, 2021. The provider is doing business as Lakeside Family Vision.
Where is Hiawatha LLC located?
Hiawatha LLC is located at 610 Main St, Alma, NE 68920. The listed phone number is (308) 928-2187.
What is Hiawatha LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Hiawatha LLC enrolled in Medicare?
Yes. Hiawatha LLC is registered in the Medicare PECOS enrollment system.
When is Hiawatha LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nebraska, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hiawatha LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Hiawatha 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 Hiawatha LLC accept?
Health plans from Blue Cross and Blue Shield of Nebraska list Hiawatha 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 Hiawatha LLC was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lakeside Family Vision · NPI 1396408720
Clinic/Center organization in Alma, Nebraska. Organization record, active in the CMS NPPES registry since October 21, 2021.
## Identity
- **NPI:** 1396408720 (Entity type: Organization)
- **Enumerated:** October 21, 2021
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Hiawatha Llc
- **Organization subpart:** No
- **Authorized official:** Kelly Mclain, OPTOMETRIST/OWNER
## Practice location
- **Address:** 610 MAIN ST, Alma, NE 68920-2165
- **Phone:** (308) 928-2187
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Nebraska, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2022
- **Other identifiers:** Medicaid 12737256 (NE)
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Source: [NPI Profile](https://npiprofile.com/npi/1396408720) · Data from the CMS NPPES public registry.