Lakeside Eyecare

LBN: Lakeside Eyecare
Lakeside Eyecare is an health care organization with primary practice located at 312 N 4Th St , Coeur D Alene ID 83814-2812. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Lakeside Eyecare can be contacted via phone (208) 676-1422, or through Calderwood, John Lloyd via phone (208) 676-1422.

Contact Information

Primary practice address
312 N 4Th St Coeur D Alene ID 83814-2812
Phone: (208) 676-1422
Fax: (208) 667-7730
Website:
Map and Directions
Authorized official contact:
Name: Calderwood, John Lloyd Doctor of Optometry (OD)
Phone: (208) 676-1422

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100067 Idaho

Profile Details

NPI number 1881837243
LBN Legal business name Lakeside Eyecare
DBA Doing business as
Authorized official Calderwood, John Lloyd Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2009
Last updated Feb 5th, 2010 - about 16 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 1881837243 NPPES
Idaho MEDICAID 807139300

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