LAKELINE EYE CENTER (NPI# 1285934539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285934539 |
| Entity Type | Organization |
| Organization Name | LAKELINE EYE CENTER |
| Practice Address |
11200 Lakeline Mall Dr St. E-5 Cedar Park TX 78613-1501 |
| Practice Telephone | 5124016000 |
| Practice Fax Number | 5124016004 |
| Mailing Telephone | 5124016000 |
| Mailing Fax Number | 5124016004 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |
| Authorized Official Name | DR. SEAN FULLER (PRESIDENT) |
| Authorized Official Telephone | 5124016000 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6531TG | TX | Eye and Vision Services Providers |
| Street Address |
11200 LAKELINE MALL DR ST. E-5 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558417105 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11200 Lakeline Mall Dr, Lakeline Mall Ste #e5, Cedar Park, TX 78613-1501 | 2007-01-26 |
| 1992180624 | Lakeline Eyecare Pllc | Optometrist | 11200 Lakeline Mall Dr, Ste E5, Cedar Park, TX 78613-1501 | 2015-07-23 |
| 1194157487 | Samira Foshat Alejos | Optometrist | 11200 Lakeline Mall Dr, H-5, Cedar Park, TX 78613-1501 | 2013-08-08 |
| 1053753764 | Lakeline Mall Family Dental | Dentist | 11200 Lakeline Mall Dr, Suite B01, Cedar Park, TX 78613-1501 | 2013-07-23 |
| 1104190594 | Beau D Blankenship, Dds, PC | Dentist | 11200 Lakeline Mall Dr, #b1, Cedar Park, TX 78613-1501 | 2012-03-01 |
| 1326355470 | Northland Hearing Centers Inc | Audiologist-Hearing Aid Fitter | 11200 Lakeline Mall Dr, Cedar Park, TX 78613-1501 | 2010-09-10 |
| 1013145036 | Peter Hyun Pak | Optometrist | 11200 Lakeline Mall Dr, Cedar Park, TX 78613-1501 | 2009-06-29 |
| 1871741926 | Melton Carey Duke | Hearing Instrument Specialist | 11200 Lakeline Mall Dr, Sears Hearing Aid Ctr, Cedar Park, TX 78613 | 2008-09-03 |
| 1275791410 | Lakeline Mall Fdc Pa | Dentist | 11200 Lakeline Mall Dr, Ste B1, Cedar Park, TX 78613-1502 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932761566 | Joseph Jeskie | Optometrist | 1111 Red Bird Dr, Cedar Park, TX 78613-5463 | 2019-07-03 |
| 1932766094 | Katherine Ann Horning | Optometrist | 1335 E Whitestone Blvd # 150, Cedar Park, TX 78613-7598 | 2019-05-23 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1316309594 | Texan Eye, P.a. | Optometrist | 925 Starwood Drive, Cedar Park, TX 78613 | 2016-03-25 |
| 1437531381 | Nathan Evan Osterman | Optometrist | 11901 W Parmer Ln Ste 400, Cedar Park, TX 78613-7655 | 2015-06-26 |
| 1164766929 | Eye Gyms Pllc | Optometrist | 930 S Bell Blvd Ste 409, Cedar Park, TX 78613-3977 | 2012-11-18 |
| 1366707333 | Austin Professional Eye Care, Pllc | Optometrist | 13625 Ronald W Reagan Blvd Bldg 8, Ste 200, Cedar Park, TX 78613-2073 | 2012-07-05 |
| 1568742682 | Dina F Miller | Optometrist | 13625 Ronald Reagan Blvd Bldg 8, Ste 200, Cedar Park, TX 78613 | 2011-08-20 |
| 1518255538 | Nick Chu | Optometrist | 2071 Cypress Creek Rd, Cedar Park, TX 78613-3622 | 2011-07-11 |
| 1780998302 | Virginia Jane Mock | Optometrist | 4701 183a Toll Rd, Cedar Park, TX 78613-7227 | 2010-08-06 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
Please comment or provide details below to improve the information on LAKELINE EYE CENTER.
| 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.