<Unavail>

LBN: Lakeshore Professional Eyecare Pc
<Unavail> is an health care organization with primary practice located at 951 Seminole Rd Suite 1, Norton Shores MI 49441-4341. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Lakeshore Professional Eyecare Pc can be contacted via phone (231) 780-4700, or through Totten, Douglas L via phone (231) 780-4700.

Contact Information

Primary practice address
951 Seminole Rd Suite 1 Norton Shores MI 49441-4341
Phone: (231) 780-4700
Fax: (231) 780-4722
Website:
Map and Directions
Authorized official contact:
Name: Totten, Douglas L Doctor of Optometry (OD)
Phone: (231) 780-4700

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003038 Michigan

Profile Details

NPI number 1629251400
LBN Legal business name Lakeshore Professional Eyecare Pc
DBA Doing business as <Unavail>
Authorized official Totten, Douglas L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2007
Last updated Jul 13th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629251400 NPPES
Michigan MEDICAID 944454960
Michigan MEDICAID 944454950

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