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LAKESIDE OPTICAL DISPENSARY, INC.
NPI 1780648824
Technician/Technologist - Optician in Moses Lake, WA

Active since April 14, 2006
1020 W IVY AVE, MOSES LAKE, WA 98837(509) 765-3497(509) 765-5082 Get Directions Write a Review

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

About Lakeside Optical Dispensary, Inc. NPPES

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

LAKESIDE OPTICAL DISPENSARY, INC. (NPI 1780648824) is a healthcare organization registered as an optician in Moses Lake, Washington and active in the NPI registry since April 2006. The organization lists Kevin Carvo, President, as its authorized official.

NPPES Registry Identity

NPI1780648824
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameLAKESIDE OPTICAL DISPENSARY, INC.
Location Address1020 W IVY AVEMoses Lake, WA 98837-2049
Mailing Address1020 W Ivy AveMoses Lake, WA 98837-2049 · (509) 765-3497 · Fax (509) 765-5082
Phone(509) 765-3497
Fax(509) 765-5082
Organization SubpartNo
Authorized OfficialKevin CarvoPresident · (509) 765-3497
Enumeration DateApril 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780648824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
1020 W IVY AVE, Moses Lake, WA 98837
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Other Identifiers 2

Medicaid2521003WA
Other0016601WA · L & I

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 PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Lakeside Optical Dispensary carries, from the Medicare DMEPOS supplier directory.

Lakeside Optical Dispensary

DMEPOS supplier · Moses Lake, WAOperated by Lakeside Optical Dispensary Inc
✔

Accepts Medicare assignment

Lakeside Optical Dispensary 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)20663675
Medicare Participant SinceJanuary 1, 1998
Supplier Location1020 W Ivy AveMoses Lake, WA 98837
Phone(509) 765-3497
Supplier Specialties
Optician

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.

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 Lakeside Optical Dispensary, Inc.'s NPI number?

The NPI number for Lakeside Optical Dispensary, Inc. is 1780648824. It was assigned to this organization in the NPPES registry on April 14, 2006.

Where is Lakeside Optical Dispensary, Inc. located?

Lakeside Optical Dispensary, Inc. is located at 1020 W Ivy Ave, Moses Lake, WA 98837. The listed phone number is (509) 765-3497.

What is Lakeside Optical Dispensary, Inc.'s specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Does Lakeside Optical Dispensary, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lakeside Optical Dispensary accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Lakeside Optical Dispensary, Inc. accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lakeside Optical Dispensary, 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 Lakeside Optical Dispensary, Inc. 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.