Organization Active NPI

Lakeside Family Eyecare, PC

  • Optometrist
  • League City, TX
National Provider Identifier
1811370885
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAKESIDE FAMILY EYECARE, PC
Practice address
1335 E League City Pkwy
Suite 200
League City, TX 77573-6027
Phone
(832) 781-0520
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Nicole Robbins, O.D.
Title
Owner/Optometrist
Phone
(832) 340-7548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1335 E League City Pkwy
Suite 200
League City, TX 77573-6027

Mailing address

1335 E League City Pkwy
Suite 200
League City, TX 77573-6027

Other names 1

  • Today's Vision League City Doing business as

National Provider Directory

National Provider Directory

Locations

1335 E League City Pkwy
Ste 200
League City, TX 77573
Phone (832) 781-0520

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1811370885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 E LEAGUE CITY PKWY",
            "address_2": "SUITE 200",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E LEAGUE CITY PKWY",
            "address_2": "SUITE 200",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736027",
            "telephone_number": "832-781-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE FAMILY EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "832-340-7548",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Vision League City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.