LAKESHORE VISION CENTERS, LTD
NPI 1780734418
Clinic/Center in Algoma, WI

Active since January 12, 2007
1021 JEFFERSON ST., ALGOMA, WI 54201(920) 487-2020(920) 487-5022 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lakeshore Vision Centers, Ltd NPPES

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

LAKESHORE VISION CENTERS, LTD (NPI 1780734418) is a healthcare organization registered as a clinic/center in Algoma, Wisconsin and active in the NPI registry since January 2007. The organization lists Susan A. Gorz, Co-owner, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1780734418
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKESHORE VISION CENTERS, LTD
Location Address1021 JEFFERSON ST.Algoma, WI 54201
Mailing Address1021 Jefferson St.Algoma, WI 54201 · (920) 487-2020 · Fax (920) 487-5022
Fax(920) 487-5022
Organization SubpartNo
Authorized OfficialSusan A. GorzCo-owner, Vice-president · (920) 487-2020
Enumeration DateJanuary 12, 2007
Last NPPES UpdateApril 22, 2009
✔ NPI 1780734418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1021 JEFFERSON ST., Algoma, WI 54201

Other Identifiers 3

Other000047383WI · Medicare Ptan
Medicare NSC0371740002WI
Medicare PINCS0632

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)

Lakeshore Vision Centers, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lakeshore Vision Centers, Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1295710515
1021 JEFFERSON ST
Algoma, WI 54201
(920) 487-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1750867149
1021 JEFFERSON ST
Algoma, WI 54201
(920) 487-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1427033034
1217 ELLIS ST
Kewaunee, WI 54216
(920) 388-2020
✔ PECOS✔ Accepts Medicare11 mi

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 Vision Centers Ltd carries, from the Medicare DMEPOS supplier directory.

Lakeshore Vision Centers Ltd

DMEPOS supplier · Algoma, WI
✔

Accepts Medicare assignment

Lakeshore Vision Centers Ltd 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)20561975
Medicare Participant SinceOctober 5, 2007
Supplier Location1021 Jefferson StAlgoma, WI 54201
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.

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 Vision Centers, Ltd's NPI number?

The NPI number for Lakeshore Vision Centers, Ltd is 1780734418. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Lakeshore Vision Centers, Ltd located?

Lakeshore Vision Centers, Ltd is located at 1021 Jefferson St., Algoma, WI 54201. The listed phone number is (920) 487-2020.

What is Lakeshore Vision Centers, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Lakeshore Vision Centers, Ltd enrolled in Medicare?

Yes. Lakeshore Vision Centers, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Vision Centers, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Lakeshore Vision Centers, Ltd. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lakeshore Vision Centers, Ltd accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lakeshore Vision Centers Ltd accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Lakeshore Vision Centers, Ltd accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Dean Health Plan and HealthPartners list Lakeshore Vision Centers, Ltd 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 Vision Centers, Ltd was last updated on April 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.