CANADIAN LAKES EYECARE
NPI 1780810598
Optometrist in Canadian Lakes, MI
About Canadian Lakes Eyecare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANADIAN LAKES EYECARE (NPI 1780810598) is a healthcare organization registered as an optometrist in Canadian Lakes, Michigan and active in the NPI registry since June 2009. The organization lists Mary Evelyn Phillips, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Canadian Lakes Eyecare 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 Canadian Lakes Eyecare, which bills Medicare for the services they deliver. Of these, 1 practice at this address. 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 Canadian Lakes Eyecare, P.L.L.C.'s NPI number?
The NPI number for Canadian Lakes Eyecare, P.L.L.C. is 1780810598. It was assigned to this organization in the NPPES registry on June 8, 2009. The provider is doing business as Canadian Lakes Eyecare.
Where is Canadian Lakes Eyecare, P.L.L.C. located?
Canadian Lakes Eyecare, P.L.L.C. is located at 10085 Buchanan Rd, Canadian Lakes, MI 49346. The listed phone number is (231) 972-3937.
What is Canadian Lakes Eyecare, P.L.L.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Canadian Lakes Eyecare, P.L.L.C. enrolled in Medicare?
Yes. Canadian Lakes Eyecare, P.L.L.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Canadian Lakes Eyecare, P.L.L.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Canadian Lakes Eyecare, P.L.L.C.. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Canadian Lakes Eyecare, P.L.L.C. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 4 other insurers list Canadian Lakes Eyecare, P.L.L.C. 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 Canadian Lakes Eyecare, P.L.L.C. was last updated on June 8, 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.
# Canadian Lakes Eyecare · NPI 1780810598
Optometrist organization in Canadian Lakes, Michigan. Organization record, active in the CMS NPPES registry since June 8, 2009.
## Identity
- **NPI:** 1780810598 (Entity type: Organization)
- **Enumerated:** June 8, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Canadian Lakes Eyecare, P.l.l.c.
- **Organization subpart:** No
- **Authorized official:** Mary Phillips, OWNER
## Practice location
- **Address:** 10085 BUCHANAN RD, Canadian Lakes, MI 49346-9762
- **Phone:** (231) 972-3937 · **Fax:** (231) 972-1212
## 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 at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1780810598) · Data from the CMS NPPES public registry.