LAKE RIDGE EYE CARE PA
NPI 1558450452
Optometrist in Grand Prairie, TX

Q: What is Lake Ridge Eye Care PA's NPI number?

The NPI number for Lake Ridge Eye Care PA is 1558450452. It was assigned to this organization in the NPPES registry on October 11, 2006.

Q: What is Lake Ridge Eye Care PA's specialty?

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

Active since October 11, 2006

4927 LAKE RIDGE PKWY, STE. 160, GRAND PRAIRIE, TX 75052(972) 641-5900(972) 641-5903 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Lake Ridge Eye Care Pa NPPES

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

LAKE RIDGE EYE CARE PA (NPI 1558450452) is a healthcare organization registered as an optometrist in Grand Prairie, Texas and active in the NPI registry since October 2006. The organization lists Carolyn Kha, Owner, as its authorized official.

NPPES Registry Identity

NPI1558450452

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameLAKE RIDGE EYE CARE PA

Location Address4927 LAKE RIDGE PKWY, STE. 160Grand Prairie, TX 75052-3073

Mailing Address4927 Lake Ridge Pkwy, Ste. 160Grand Prairie, TX 75052-3073 · (972) 641-5900 · Fax (972) 641-5903

Phone(972) 641-5900

Fax(972) 641-5903

Organization SubpartNo

Authorized OfficialCarolyn KhaOwner · (972) 641-5900

Enumeration DateOctober 11, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1558450452 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 TX · 6592TG

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.

4927 LAKE RIDGE PKWY, Grand Prairie, TX 75052

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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 BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 16

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

MRS. ASHLEIGH MILLS

Behavior Technician

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052

Dallas County (866) 206-2008

PEDIATRIC CENTER OF GRAND PRAIRIE

Pediatrics

4927 LAKE RIDGE PKWY, SUITE 120
GRAND PRAIRIE, TX 75052

Dallas County (972) 401-0700

BARSHA BHANDARI

Nurse Practitioner (Family)

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052

Dallas County (972) 960-3713

DR. CAROLYN K KHA OD

Optometrist

4927 LAKE RIDGE PKWY, SUITE NUMBER 160
GRAND PRAIRIE, TX 75052

Dallas County (972) 641-5900

DR. MIRANDA EFUA WELLINGTON M.D.

Family Medicine

4927 LAKE RIDGE PKWY, SUITE 100
GRAND PRAIRIE, TX 75052

Dallas County (972) 641-9000

CIELO EVIDELSY ALVARADO RBT

Behavior Technician

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052

Dallas County (214) 251-8758

RAFAEL MARTINEZ

Behavior Technician

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052

Dallas County (855) 782-7822

APPLEWHITE DENTAL PLLC

Dentist

4927 LAKE RIDGE PKWY, SUITE 140
GRAND PRAIRIE, TX 75052

Dallas County (817) 913-3537

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 Ridge Eye Care PA's NPI number?

The NPI number for Lake Ridge Eye Care PA is 1558450452. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Lake Ridge Eye Care PA located?

Lake Ridge Eye Care PA is located at 4927 Lake Ridge Pkwy Ste. 160, Grand Prairie, TX 75052. The listed phone number is (972) 641-5900.

What is Lake Ridge Eye Care PA's specialty?

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

What insurance does Lake Ridge Eye Care PA accept?

Health plans from BlueCross BlueShield of Tennessee list Lake Ridge Eye Care PA 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 Ridge Eye Care PA 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.