LAKESIDE EYE CLINIC INC
NPI 1871794362
Preferred Provider Organization in Chicago, IL

Q: What is Lakeside Eye Clinic Inc's NPI number?

The NPI number for Lakeside Eye Clinic Inc is 1871794362. It was assigned to this organization in the NPPES registry on May 30, 2007.

Q: What is Lakeside Eye Clinic Inc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since May 30, 2007

104 S MICHIGAN AVE, 410, CHICAGO, IL 60603(312) 553-1818(312) 641-5503 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lakeside Eye Clinic Inc NPPES

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

LAKESIDE EYE CLINIC INC (NPI 1871794362) is a healthcare organization registered as a preferred provider organization in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Ernesto Carrasco, President, as its authorized official.

NPPES Registry Identity

NPI1871794362

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameLAKESIDE EYE CLINIC INC

Location Address104 S MICHIGAN AVE, 410Chicago, IL 60603-5902

Mailing Address104 S Michigan Ave, 410Chicago, IL 60603-5902 · (312) 553-1818 · Fax (312) 641-5503

Phone(312) 553-1818

Fax(312) 641-5503

Organization SubpartNo

Authorized OfficialErnesto CarrascoPresident · (312) 553-1818

Enumeration DateMay 30, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1871794362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

104 S MICHIGAN AVE, Chicago, IL 60603

Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

DR. LILLIAN OBUCINA D.D.S.

Dentist (General Practice)

104 S MICHIGAN AVE, 727
CHICAGO, IL 60603

Cook County (312) 909-2839

LIBRADA M.MANALIGOD,MD.S.C

Specialist

104 S MICHIGAN AVE, SUITE 830
CHICAGO, IL 60603

Cook County (312) 372-8384

DR. JOAN C WHELCHEL M.D.

Ophthalmology

104 S MICHIGAN AVE
CHICAGO, IL 60603

Cook County (312) 553-1818

PROCARE 4268 YANKEE, L.L.C.

Pharmacy

104 S MICHIGAN AVE, SUITE 619
CHICAGO, IL 60603

Cook County (312) 252-7204

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 Eye Clinic Inc's NPI number?

The NPI number for Lakeside Eye Clinic Inc is 1871794362. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Lakeside Eye Clinic Inc located?

Lakeside Eye Clinic Inc is located at 104 S Michigan Ave 410, Chicago, IL 60603. The listed phone number is (312) 553-1818.

What is Lakeside Eye Clinic Inc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Eye Clinic Inc 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 5 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.