LAKESIDE VISION INC – Optometrist, NPI 1790789550

LAKESIDE VISION INC is a healthcare provider. based in Prudenville, Michigan. specializing in Optometrist. The organization holds a License No. MI2953 (MI). The NPI Number for LAKESIDE VISION INC is 1790789550

Main info

Organization
Name
LAKESIDE VISION INC
NPI
1790789550
Phone
(989) 366-7525
Address
888 W HOUGHTON LAKE DR
Authorized Official
JENNIFER BOGGS OFFICE MANAGER
Enumeration Date
9 June 2005
Last Update Date
16 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for LAKESIDE VISION INC

  • 888, West Houghton Lake Drive, Prudenville, Denton Township, Roscommon County, Michigan, 48651, United States

    P O BOX 20

    PRUDENVILLE, MI 486519451

    Phone: (989) 366-7525

    Fax: (989) 366-5405

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48651)

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Reviews

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Frequently asked questions

What is the registry number for LAKESIDE VISION INC?
The registry entry for LAKESIDE VISION INC shows NPI 1790789550.
Quick check: is LAKESIDE VISION INC active?
Public NPPES data shows LAKESIDE VISION INC with an active NPI status right now.
What does the directory say LAKESIDE VISION INC does?
Insurance directories may phrase it differently, but here LAKESIDE VISION INC maps to Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LAKESIDE VISION INC?
LAKESIDE VISION INC is associated with Prudenville, Michigan in the same public data insurers reference.
Why is information missing for LAKESIDE VISION INC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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