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LAKESIDE EYE CARE
NPI 1841327145
Optometrist - Corneal and Contact Management in Flower Mound, TX

Active since February 27, 2007
5201 BALMORAL LN, FLOWER MOUND, TX 75028(972) 874-2407(972) 874-2733 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lakeside Eye Care NPPES

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

LAKESIDE EYE CARE (NPI 1841327145) is a healthcare organization registered as a corneal and contact management in Flower Mound, Texas and active in the NPI registry since February 2007. The organization lists Sebastian M Mirabal, President, as its authorized official.

NPPES Registry Identity

NPI1841327145
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameSEBASTIAN MIRABAL O.D., P.A.
Location Address5201 BALMORAL LNFlower Mound, TX 75028-1669
Mailing Address5201 Balmoral LnFlower Mound, TX 75028-1669 · (972) 874-2407 · Fax (972) 874-2733
Phone(972) 874-2407
Fax(972) 874-2733
Organization SubpartNo
Authorized OfficialSebastian M MirabalPresident · (972) 874-2407
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1841327145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in TX · 5878TG
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
5201 BALMORAL LN, Flower Mound, TX 75028
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Other Names 1

Doing Business AsLakeside Eye Care

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeside Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20031107000537Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Eye Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sebastian Mirabal, O.D.
Optometry
NPI 1285695148
1025 LONG PRAIRIE RD SUITE 100
Flower Mound, TX 75022
(972) 874-2407
✔ PECOS4.4 mi

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 Sebastian Mirabal O.D., P.A.'s NPI number?

The NPI number for Sebastian Mirabal O.D., P.A. is 1841327145. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Lakeside Eye Care.

Where is Sebastian Mirabal O.D., P.A. located?

Sebastian Mirabal O.D., P.A. is located at 5201 Balmoral Ln, Flower Mound, TX 75028. The listed phone number is (972) 874-2407.

What is Sebastian Mirabal O.D., P.A.'s specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Sebastian Mirabal O.D., P.A. enrolled in Medicare?

Yes. Sebastian Mirabal O.D., P.A. is registered in the Medicare PECOS enrollment system.

When is Sebastian Mirabal O.D., P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sebastian Mirabal O.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Sebastian Mirabal O.D., P.A.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sebastian Mirabal O.D., P.A. 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.