Lakeshore Vision Centers, LTD

PAC ID

9133200900The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

WI

Enrollments

1

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Lakeshore Vision Centers, LTD

  • Clinic/Center
  • Algoma, WI
  • NPI 1780734418
• Lakeshore Vision Centers LTD

  • Clinic/Center
  • Kewaunee, WI
  • NPI 1073663704

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

• John Edward Gorz, OD

  • Optometrist
  • Algoma, WI
  • NPI 1295710515
• Michael John Gorz, OD

  • Optometrist
  • Algoma, WI
  • NPI 1750867149
• Susan Ann Gorz, OD

  • Optometrist
  • Kewaunee, WI
  • NPI 1427033034

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.