LAKESIDE EYE CARE – Corneal and Contact Management Optometrist, NPI 1841327145

LAKESIDE EYE CARE is a healthcare provider. based in Flower mound, Texas. specializing in Corneal and Contact Management Optometrist. The organization holds a License No. 5878TG (TX). The NPI Number for LAKESIDE EYE CARE is 1841327145

Main info

Organization
Name
LAKESIDE EYE CARE
NPI
1841327145
Phone
(972) 874-2407
Address
5201 BALMORAL LN
Authorized Official
DR. SEBASTIAN M MIRABAL PRESIDENT O.D.
Enumeration Date
27 February 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for LAKESIDE EYE CARE

  • 5201 BALMORAL LN

    FLOWER MOUND, TX 750281669

    Phone: (972) 874-2407

    Fax: (972) 874-2733

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031107000537OClinic/Group PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 75028)

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Reviews

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Frequently asked questions

Is LAKESIDE EYE CARE listed with a National Provider Identifier?
Yes — LAKESIDE EYE CARE has NPI 1841327145 on file in the registry.
Would LAKESIDE EYE CARE appear as active to a payer?
You can treat LAKESIDE EYE CARE as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to LAKESIDE EYE CARE?
LAKESIDE EYE CARE's specialty line reads Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
Is LAKESIDE EYE CARE located near Flower Mound?
LAKESIDE EYE CARE currently maps to Flower Mound, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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DR. SEBASTIAN M MIRABAL (O.D.)

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