LAKEVILLE EYE CARE CENTER, INC.
NPI 1770526436
Optometrist in Millington, MI
About Lakeville Eye Care Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEVILLE EYE CARE CENTER, INC. (NPI 1770526436) is a healthcare organization registered as an optometrist in Millington, Michigan and active in the NPI registry since June 2006. The organization lists Teresa Marie Ennis-decker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeville Eye Care Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeville Eye Care Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Lakeville Eye Care Center, Inc.'s NPI number?
The NPI number for Lakeville Eye Care Center, Inc. is 1770526436. It was assigned to this organization in the NPPES registry on June 13, 2006.
Where is Lakeville Eye Care Center, Inc. located?
Lakeville Eye Care Center, Inc. is located at 9575 State Rd, Millington, MI 48746. The listed phone number is (989) 871-9552.
What is Lakeville Eye Care Center, Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lakeville Eye Care Center, Inc. enrolled in Medicare?
Yes. Lakeville Eye Care Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeville Eye Care Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Lakeville Eye Care Center, Inc.. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lakeville Eye Care Center, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Lakeville Eye Care Center, Inc. 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 Lakeville Eye Care Center, Inc. was last updated on January 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Lakeville Eye Care Center, Inc. · NPI 1770526436
Optometrist organization in Millington, Michigan. Organization record, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1770526436 (Entity type: Organization)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Teresa Ennis-Decker, OWNER
## Practice location
- **Address:** 9575 STATE RD, Millington, MI 48746-9482
- **Phone:** (989) 871-9552 · **Fax:** (989) 871-9554
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2013
- **Other identifiers:** Medicare NSC 5439550001 (MI); Medicaid 944743819 (MI); Medicare UPIN U53521 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1770526436) · Data from the CMS NPPES public registry.