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LAKESIDE VISION INC
NPI 1790789550
Optometrist in Prudenville, MI

Active since June 09, 2005
888 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651(989) 366-7525(989) 366-5405 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Vision Inc NPPES

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

LAKESIDE VISION INC (NPI 1790789550) is a healthcare organization registered as an optometrist in Prudenville, Michigan and active in the NPI registry since June 2005. The organization lists Jennifer Boggs, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790789550
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLAKESIDE VISION INC
Location Address888 W HOUGHTON LAKE DRPrudenville, MI 48651-9451
Mailing Address888 W Houghton Lake Dr, P O Box 20Prudenville, MI 48651-9451 · (989) 366-7525 · Fax (989) 366-5405
Phone(989) 366-7525
Fax(989) 366-5405
Organization SubpartNo
Authorized OfficialJennifer BoggsOffice Manager · (989) 366-7525
Enumeration DateJune 9, 2005
Last NPPES UpdateJuly 16, 2008
✔ NPI 1790789550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · MI2953
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.
888 W HOUGHTON LAKE DR, Prudenville, MI 48651
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Other Identifiers 5

Medicare NSC0159320001MI
Medicare PIN0G26503MI
Medicaid1562533MI
Medicare PINCG6506MI
Other900G21001MI · Blue Cross Blue Shield

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.Insurance ›

Other Providers at the Same Location NPPES 3

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

LAKESIDE VISION, PRUDENVILLE, PC
Optometrist
888 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Roscommon County (989) 366-7525
LOUIS E BOGGS O.D.
Optometrist
888 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Roscommon County (989) 366-7525
DR. KYLE SCOTT BATES OD
Optometrist
888 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Roscommon County (989) 366-7525

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 Vision Inc's NPI number?

The NPI number for Lakeside Vision Inc is 1790789550. It was assigned to this organization in the NPPES registry on June 9, 2005.

Where is Lakeside Vision Inc located?

Lakeside Vision Inc is located at 888 W Houghton Lake Dr, Prudenville, MI 48651. The listed phone number is (989) 366-7525.

What is Lakeside Vision Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Lakeside Vision Inc accept?

Health plans from Blue Care Network of Michigan list Lakeside Vision 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 Vision Inc was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.