Lakeside Optical – Eyewear Supplier, NPI 1093040131

Lakeside Optical is a healthcare provider. based in Lake oswego, Oregon. specializing in Eyewear Supplier. The NPI Number for Lakeside Optical is 1093040131

Main info

Organization
Name
Lakeside Optical
NPI
1093040131
Phone
(503) 636-9608
Address
27 S STATE ST
Authorized Official
MS. JANET M TABOR PRESIDENT
Enumeration Date
7 October 2009
Last Update Date
7 October 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness80
Years active:16State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Lakeside Optical

  • 27, South State Street, Lakewood, Lake Oswego, Metro, Clackamas County, Oregon, 97034, United States

    SUITE 240

    LAKE OSWEGO, OR 970343935

    Phone: (503) 636-9608

    Fax: (503) 675-1112

    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.

This can happen when there are no reportable CMS Open Payments records.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 97034)

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Reviews

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Frequently asked questions

What number should I use to identify Lakeside Optical for billing?
Administrative and clinical systems typically use NPI 1093040131 for Lakeside Optical.
Quick check: is Lakeside Optical active?
Public NPPES data shows Lakeside Optical with an active NPI status right now.
What does the directory say Lakeside Optical does?
Insurance directories may phrase it differently, but here Lakeside Optical maps to Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Can patients visit Lakeside Optical in Lake Oswego, Oregon?
For routing, start with Lake Oswego, Oregon for Lakeside Optical, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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