Lake Country Eye Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LAKE COUNTRY EYE SURGERY CENTER, LLC

Practice address

N19W23993 Ridgeview Pkwy W
Waukesha, WI 53188-1030

Phone

(417) 889-2040

NPI assigned

Oct 8, 2025

Organization subpart

No

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

Authorized official

Name

Robert McCarville

Title

Administrator

Phone

(417) 889-2040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1770458754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N19W23993 RIDGEVIEW PKWY W",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N19W23993 RIDGEVIEW PKWY W",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881030",
            "telephone_number": "417-889-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "MCCARVILLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-889-2040"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Lachowin
• Amy Laedtke, SAC-IT
• Michael S. Lafratta, D.D.S.
• Kenneth Alan Lahrman, D.O.
• Lake Area Physical Medicine and Rehabilitation, SC
• Lake Country Pathologists SC
• Lake Country Plastic and Hand Surgery SC
• Roger A Lalich, DO
• Ann Lamberg
• Andrea Lanaville, RDH

• Ambulatory Surgical Clinic/Center in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.