Lakeside Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

015273 Issued in LA

Legal business name

LAKESIDE OPTICAL

Practice address

1920 W Sale Rd
BLDG. F, Ste. 3
Lake Charles, LA 70605-2400

Phone

(337) 433-3231

Fax

(337) 439-0185

NPI assigned

Sep 16, 2006

Last updated

Oct 27, 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

Mrs. Elaine Dyer

Title

Office Manager

Phone

(337) 433-3231

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1285730911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 W SALE RD",
            "address_2": "BLDG. F, STE. 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052400",
            "telephone_number": "337-433-3231",
            "fax_number": "337-439-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W SALE RD",
            "address_2": "BLDG. F, STE. 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052400",
            "telephone_number": "337-433-3231",
            "fax_number": "337-439-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-433-3231",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "LA",
            "license": "015273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Eyewear Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.