LAKESHORE VISION CENTERS, LTD (NPI# 1780734418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780734418 |
| Entity Type | Organization |
| Organization Name | LAKESHORE VISION CENTERS, LTD |
| Practice Address |
1021 Jefferson St. Algoma WI 54201 |
| Practice Telephone | 9204872020 |
| Practice Fax Number | 9204875022 |
| Mailing Telephone | 9204872020 |
| Mailing Fax Number | 9204875022 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | DR. SUSAN A. GORZ (CO-OWNER, VICE-PRESIDENT) |
| Authorized Official Telephone | 9204872020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE PTAN | 000047383 | 01 |
| Street Address |
1021 JEFFERSON ST. |
| City | ALGOMA |
| State | WI |
| Zip Code | 54201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609905645 | Rebecca Havel Prust | Dentist | 1223 Lake Street, Algoma, WI 54201 | 2007-03-05 |
| 1306905575 | Alan William Haubenschild | Dentist | 409 5th St, Algoma, WI 54201 | 2006-12-06 |
| 1336128081 | Lisa Olson | Physician Assistant | 1510 Fremont St, Algoma, Algoma, WI 54201 | 2006-01-11 |
| 1477559938 | Robert James Anderson | Family Medicine | 831 Parker St, Algoma, WI 54201-0185 | 2005-06-21 |
| 1841603693 | Katie Ann Lukes | Registered Nurse | 831 Parker St, Algoma, WI 54201-0185 | 2014-06-10 |
| 1124438478 | Bellin Psychiatric Center Inc | Counselor | 831 Parker St, Algoma, WI 54201-0185 | 2014-05-07 |
| 1558372094 | City of Algoma | Ambulance | 400 3rd St, Algoma, WI 54201-1211 | 2006-08-10 |
| 1447291331 | Kay K Secrest | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2006-06-09 |
| 1528106929 | Secrest Family Chiropractic LLC | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2007-02-01 |
| 1821511841 | Amber Beth Vanden Avond | Chiropractor | 305 Steele St Ste 1, Algoma, WI 54201-1266 | 2017-07-21 |
| Find all providers in zip 54201 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
| 1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
| 1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
| 1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.