LAKE AVENUE EYECARE LLC

Eyewear Supplier

Active Organization
NPI: 1396932430

Practice Address

829 LAKE AVE
Gothenburg, NE 69138

Phone: (308) 537-3390

Specialties

Specialty Code Primary License
Optometrist 152W00000X No 1166 (NE)
Eyewear Supplier 332H00000X Yes 1166 (NE)

Frequently Asked Questions

NPI 1396932430 is the National Provider Identifier for LAKE AVENUE EYECARE LLC, a Eyewear Supplier provider located in Gothenburg, NE. This NPI was enumerated on October 3, 2007.

Quick Facts

NPI
1396932430
Type
Organization
Enumerated
Oct 3, 2007
Last Updated
Oct 27, 2022

Nearby Providers