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LAKESIDE EYECARE
NPI 1881837243
Optometrist in Coeur D Alene, ID

Active since April 15, 2009
312 N 4TH ST, COEUR D ALENE, ID 83814(208) 676-1422(208) 667-7730 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Eyecare NPPES

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

LAKESIDE EYECARE (NPI 1881837243) is a healthcare organization registered as an optometrist in Coeur D Alene, Idaho and active in the NPI registry since April 2009. The organization lists John Lloyd Calderwood, Owner, as its authorized official.

NPPES Registry Identity

NPI1881837243
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLAKESIDE EYECARE
Location Address312 N 4TH STCoeur D Alene, ID 83814-2812
Mailing Address312 N 4th StCoeur D Alene, ID 83814-2812 · (208) 676-1422 · Fax (208) 667-7730
Phone(208) 676-1422
Fax(208) 667-7730
Organization SubpartNo
Authorized OfficialJohn Lloyd CalderwoodOwner · (208) 676-1422
Enumeration DateApril 15, 2009
Last NPPES UpdateFebruary 5, 2010
✔ NPI 1881837243 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 ID · ODP-100067
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.
312 N 4TH ST, Coeur D Alene, ID 83814
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Other Identifiers 3

Medicare NSC6233270001ID
Medicare UPINV05106ID
Medicaid807139300ID

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

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 Eyecare's NPI number?

The NPI number for Lakeside Eyecare is 1881837243. It was assigned to this organization in the NPPES registry on April 15, 2009.

Where is Lakeside Eyecare located?

Lakeside Eyecare is located at 312 N 4th St, Coeur D Alene, ID 83814. The listed phone number is (208) 676-1422.

What is Lakeside Eyecare'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 Lakeside Eyecare was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.