Lakeshore Eyecare, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003206A Issued in IN

Legal business name

LAKESHORE EYECARE, INC.

Practice address

830 Parkway Ave Ste E
Elkhart, IN 46516-9343

Phone

(574) 970-7444

Fax

(574) 970-7453

NPI assigned

Apr 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Roger Britzke, O.D.NPI 1164616900

Title

Owner

Phone

(574) 970-7444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Roger Britzke, O.D.

  • Optometrist
  • Elkhart, IN
  • NPI 1164616900
  Medicare reassignment Care Compare group NPD Authorized official
• Brant Hoggatt, OD

  • Optometrist
  • Elkhart, IN
  • NPI 1396638680
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1811950009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PARKWAY AVE STE E",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169343",
            "telephone_number": "574-970-7444",
            "fax_number": "574-970-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PARKWAY AVE STE E",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169343",
            "telephone_number": "574-970-7444",
            "fax_number": "574-970-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-09",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "BRITZKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-970-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003206A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Labcorp Indiana Inc
• Laboratory Corporation of America Holdings
• Lillian Lacey
• Bridget Ladewski, BSW
• Charmagne Alee Lafortune, M.S.ED
• Jessica Lyn Lala, MSW, LCSW
• Heather M Lamley
• Deniese L Lancianese, OTR
• Carly Elise Landon
• Nicole S Landrum, COTA/L

• Optometrist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.