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LAKESHORE EYECARE CENTER PC
NPI 1760668016
Optometrist in Holland, MI

Active since January 17, 2008
2657 120TH AVE, HOLLAND, MI 49424(616) 395-0606(616) 395-0077 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1760668016
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLAKESHORE EYECARE CENTER PC
Location Address2657 120TH AVEHolland, MI 49424-8692
Mailing AddressPo Box 3272Saginaw, MI 48605-3272
Phone(616) 395-0606
Fax(616) 395-0077
Organization SubpartNo
Authorized OfficialRebecca A JacqueminOwner · (616) 395-0606
Enumeration DateJanuary 17, 2008
Last NPPES UpdateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1760668016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
2657 120TH AVE, Holland, MI 49424
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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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, BlueCross BlueShield of Tennessee.Insurance ›

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, MI
✔

Accepts 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.

PTAN (Medicare Supplier Number)20673161
Medicare Participant SinceMarch 1, 1991
Supplier Location2657 120th AveHolland, MI 49424
Phone(616) 395-0606
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

DR. HANNAH FAUPEL MIKOLAIZYK OD
Optometrist
2657 120TH AVE
HOLLAND, MI 49424
Ottawa County (616) 395-0606
GABRIELLE GOMEZ
Optometrist
2657 120TH AVE
HOLLAND, MI 49424
Ottawa County (616) 395-0606

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.

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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and BlueCross BlueShield of Tennessee 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.