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LAKE AVENUE EYECARE LLC
NPI 1396932430
Eyewear Supplier in Gothenburg, NE

Active since October 03, 2007
829 LAKE AVE, GOTHENBURG, NE 69138(308) 537-3390(308) 537-3391 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Avenue Eyecare Llc NPPES

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

LAKE AVENUE EYECARE LLC (NPI 1396932430) is a healthcare organization registered as an eyewear supplier in Gothenburg, Nebraska and active in the NPI registry since October 2007. The organization lists John A Gosnell, Owner, as its authorized official.

NPPES Registry Identity

NPI1396932430
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameLAKE AVENUE EYECARE LLC
Location Address829 LAKE AVEGothenburg, NE 69138-1943
Mailing Address829 Lake AveGothenburg, NE 69138-1943 · (308) 537-3390 · Fax (308) 537-3391
Phone(308) 537-3390
Fax(308) 537-3391
Organization SubpartNo
Authorized OfficialJohn A GosnellOwner · (308) 537-3390
Enumeration DateOctober 3, 2007
Last NPPES UpdateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
✔ NPI 1396932430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in NE · 1166
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Also ListedOptometristTaxonomy 152W00000X · License 1166 (NE)
829 LAKE AVE, Gothenburg, NE 69138
Open in Google Maps ↗

Other Identifiers 3

Other240481Midlands Choice
Other06754Blue Cross Blue Shieldpin
Medicaid10024987700NE

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 BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE AVENUE EYECARE, LLC
Optometrist
829 LAKE AVE
GOTHENBURG, NE 69138
Dawson County (308) 537-3390

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 Avenue Eyecare LLC's NPI number?

The NPI number for Lake Avenue Eyecare LLC is 1396932430. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Lake Avenue Eyecare LLC located?

Lake Avenue Eyecare LLC is located at 829 Lake Ave, Gothenburg, NE 69138. The listed phone number is (308) 537-3390.

What is Lake Avenue Eyecare LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

What insurance does Lake Avenue Eyecare LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Lake Avenue Eyecare 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 Avenue Eyecare LLC was last updated on October 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.