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LAKE AVENUE EYECARE, LLC
NPI 1811183783
Optometrist in Gothenburg, NE

Active since September 24, 2007
829 LAKE AVE, GOTHENBURG, NE 69138(308) 537-3390(308) 537-3391 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Avenue Eyecare, Llc NPPES

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

LAKE AVENUE EYECARE, LLC (NPI 1811183783) is a healthcare organization registered as an optometrist in Gothenburg, Nebraska and active in the NPI registry since September 2007. The organization lists John A Gosnell, Owner, as its authorized official.

NPPES Registry Identity

NPI1811183783
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLAKE AVENUE EYECARE, LLC
Location Address829 LAKE AVEGothenburg, NE 69138-1943
Mailing Address829 Lake AveGothenburg, NE 69138-1943 · (308) 537-3390 · Fax (308) 537-3391
Phone(308) 537-3390
Fax(308) 537-3391
Organization SubpartNo
Authorized OfficialJohn A GosnellOwner · (308) 537-3390
Enumeration DateSeptember 24, 2007
Last NPPES UpdateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
✔ NPI 1811183783 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 NE · 1166
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.
829 LAKE AVE, Gothenburg, NE 69138
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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

Other Providers at the Same Location NPPES

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

LAKE AVENUE EYECARE LLC
Eyewear Supplier
829 LAKE AVE
GOTHENBURG, NE 69138
Dawson County (308) 537-3390

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 Lake Avenue Eyecare, LLC's NPI number?

The NPI number for Lake Avenue Eyecare, LLC is 1811183783. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Lake Avenue Eyecare, LLC located?

Lake Avenue Eyecare, LLC is located at 829 Lake Ave, Gothenburg, NE 69138. The listed phone number is (308) 537-3390.

What is Lake Avenue Eyecare, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Avenue Eyecare, LLC was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.