LAKESHORE EYECARE CENTER PC
NPI 1760668016
Optometrist in Holland, MI
About Lakeshore Eyecare Center Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESHORE EYECARE CENTER PC (NPI 1760668016) is a healthcare organization registered as an optometrist in Holland, Michigan and active in the NPI registry since January 2008. The organization lists Rebecca A Jacquemin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Lakeshore Eyecare Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by November 30, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Lakeshore Eyecare Center PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Lakeshore Eyecare Center PC carries, from the Medicare DMEPOS supplier directory.
Lakeshore Eyecare Center PC
DMEPOS supplier · Holland, MIAccepts Medicare assignment
Lakeshore Eyecare Center PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Lakeshore Eyecare Center PC's NPI number?
The NPI number for Lakeshore Eyecare Center PC is 1760668016. It was assigned to this organization in the NPPES registry on January 17, 2008.
Where is Lakeshore Eyecare Center PC located?
Lakeshore Eyecare Center PC is located at 2657 120th Ave, Holland, MI 49424. The listed phone number is (616) 395-0606.
What is Lakeshore Eyecare Center PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lakeshore Eyecare Center PC enrolled in Medicare?
Yes. Lakeshore Eyecare Center PC is registered in the Medicare PECOS enrollment system.
When is Lakeshore Eyecare Center PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Lakeshore Eyecare Center PC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice). 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 Lakeshore Eyecare Center PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Lakeshore Eyecare Center PC. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lakeshore Eyecare Center PC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Lakeshore Eyecare Center PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Lakeshore Eyecare Center PC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Lakeshore Eyecare Center PC 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 Lakeshore Eyecare Center PC was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lakeshore Eyecare Center Pc · NPI 1760668016
Optometrist organization in Holland, Michigan. Organization record, active in the CMS NPPES registry since January 17, 2008.
## Identity
- **NPI:** 1760668016 (Entity type: Organization)
- **Enumerated:** January 17, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Rebecca Jacquemin, OWNER
## Practice location
- **Address:** 2657 120TH AVE, Holland, MI 49424-8692
- **Phone:** (616) 395-0606 · **Fax:** (616) 395-0077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1760668016) · Data from the CMS NPPES public registry.