LAKESIDE OPTICAL (NPI# 1285730911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285730911 |
| Entity Type | Organization |
| Organization Name | LAKESIDE OPTICAL |
| Practice Address |
1920 W Sale Rd Bldg. F, Ste. 3 Lake Charles LA 70605-2400 |
| Practice Telephone | 3374333231 |
| Practice Fax Number | 3374390185 |
| Mailing Telephone | 3374333231 |
| Mailing Fax Number | 3374390185 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-10-27 |
| Authorized Official Name | MRS. ELAINE DYER (OFFICE MANAGER) |
| Authorized Official Telephone | 3374333231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 015273 | LA | Suppliers |
| Street Address |
1920 W SALE RD BLDG. F, STE. 3 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932175353 | Keane Tarleton Oneal | Family Medicine | 1920 W Sale Rd, Suite 2, Lake Charles, LA 70605-2400 | 2006-02-25 |
| 1396120275 | Dr Brad W Lebert Md LLC | Otolaryngology | 1920 W Sale Rd, Bldg F, Ste 3 & 4, Lake Charles, LA 70605-2400 | 2015-07-21 |
| 1740664796 | Imperial Health, LLP | Otolaryngology | 1920 W Sale Rd, Bldg F, Ste 3 & 4, Lake Charles, LA 70605-2400 | 2015-07-18 |
| 1043451008 | Melissa Lalande Rasberry | Family Medicine | 1920 W Sale Rd, Bldg F, Suite 2, Lake Charles, LA 70605-2400 | 2009-03-20 |
| 1821271867 | Baron Newton Md LLC | Surgery | 1920 W Sale Rd, Ste 7, Lake Charles, LA 70605-2400 | 2007-12-13 |
| 1871637850 | Rehabilitation and Rheumatology Associates, LLC | Physical Medicine & Rehabilitation | 1920 W Sale Rd, Bldg F-3, Lake Charles, LA 70605-2400 | 2007-02-16 |
| 1649205956 | Todd Allen Peavy | Family Medicine | 1920 W Sale Rd, Bldg F Suite 1, Lake Charles, LA 70605-2400 | 2006-07-12 |
| 1881654895 | Baron B Newton Jr. | Specialist | 1920 W Sale Rd, Ste 7, Lake Charles, LA 70605-2400 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326244880 | Paradise Optical & Gifts | Eyewear Supplier (Equipment, not the service) | 1980 Tybee St, Lake Charles, LA 70605-4173 | 2007-06-22 |
| 1871649343 | 20/20 Vision Clinic | Eyewear Supplier (Equipment, not the service) | 4816 Nelson Rd, Lake Charles, LA 70605-5214 | 2007-01-26 |
| 1245396837 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 640 W Prien Lake, Prien Lake Mall, Lake Charles, LA 70601-8316 | 2006-12-28 |
| 1609968684 | Jason Wonch Od and Associates A P C | Eyewear Supplier (Equipment, not the service) | 336 W Prien Lake Rd, Suite G05a, Lake Charles, LA 70601-8453 | 2006-09-28 |
| 1275649147 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 312 Prien Lake Mall, Lake Charles, LA 70601-8492 | 2006-08-22 |
| 1528438504 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 339 W Prien Lake Rd, Suite 200, Lake Charles, LA 70601-8452 | 2015-10-02 |
| 1952543076 | Paradise Optical & Gifts LLC | Eyewear Supplier (Equipment, not the service) | 1980 Tybee St, Lake Charles, LA 70605-4173 | 2009-04-03 |
| 1760519003 | La. State Optical of Lake Charles, La. Inc. | Eyewear Supplier (Equipment, not the service) | 628 E Prien Lake Rd, Lake Charles, LA 70601-8686 | 2007-02-27 |
| 1942390356 | Optics Unlimited Inc | Eyewear Supplier (Equipment, not the service) | 1717 Oak Park Blvd, Suite 1, Lake Charles, LA 70601-8977 | 2006-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295369817 | Allemond and Jelks LLC | Eyewear Supplier (Equipment, not the service) | 4263 Hwy 1 S, Port Allen, LA 70767-5824 | 2020-02-24 |
| 1891340899 | Joseph E Humble and Raymond Haik, Ptrs | Eyewear Supplier (Equipment, not the service) | 1801 Auburn Ave, Monroe, LA 71201-5005 | 2019-08-06 |
| 1154976157 | Joseph E Humble and Raymond Haik, Ptrs | Eyewear Supplier (Equipment, not the service) | 138 Christian Dr, Rayville, LA 71269-3645 | 2019-08-06 |
| 1639696818 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 3964 Magazine St, New Orleans, LA 70115-2664 | 2017-08-28 |
| 1447700240 | Jason Wonch, O.d. and Associates, A P.C. | Eyewear Supplier (Equipment, not the service) | 27306 Crossing Circle, Ste. 270, Denham Springs, LA 70726-5887 | 2016-10-05 |
| 1811446636 | Custom Optical N.o | Eyewear Supplier (Equipment, not the service) | 2416 Benefit St., New Orleans, LA 70122-4709 | 2016-09-22 |
| 1699139253 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 600 Town Center Pkwy # D600, Fremaux Town Center, Slidell, LA 70458-8006 | 2016-04-11 |
| 1407243181 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 455 Curtiss Rd, Bldg. 4711, Barksdale Afb, LA 71110-2423 | 2015-04-21 |
| 1932507928 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4415 Amb Caffery Pkwy, Suite 119, Lafayette, LA 70508-6771 | 2014-12-08 |
| 1013344621 | Ochnser Health Center-eyecare Iberville | Eyewear Supplier (Equipment, not the service) | 25420 La Highway 1, Suite E, Plaquemine, LA 70764 | 2013-09-27 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on LAKESIDE OPTICAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.