Lakeview Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

961ATI Issued in OR

Legal business name

LAKEVIEW VISION CENTER, LLC

Practice address

628 N 1St St Ste C
Lakeview, OR 97630-1506

Phone

(541) 947-3357

Fax

(541) 947-3368

NPI assigned

Nov 22, 2006

Last updated

Nov 19, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Garry Dwayne Kappel, O D

Title

Owner

Phone

(541) 947-3357

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James R Hathaway, OD

  • Optometrist
  • Worley, ID
  • NPI 1164516530
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1164597225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 N 1ST ST STE C",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301506",
            "telephone_number": "541-947-3357",
            "fax_number": "541-947-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N 1ST ST STE C",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301506",
            "telephone_number": "541-947-3357",
            "fax_number": "541-947-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "KAPPEL",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-947-3357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "961ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Health District (Lake District Wellness Center)
• Lake Health District (Lake District Hospital and LongTerm Care)
• Lake Health District (Lakeview Home Health Care)
• Lakeview Disaster Unit, Inc.
• Lakeview Gardens LLC
• Patricia Ruth Leehmann
• Jamie Renee Lewis, DPT
• Jane Lincoln, MSW
• Lutheran Community Services NW
• Amron L Lym, DPT

• Optometrist in Lakeview, OR
• Providers in Lakeview, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.