NPI 1003557133

Lakeside Vision, Prudenville, PC

Organisation Optometrist Prudenville, MI

Practice location

Address: 888 W Houghton Lake Dr, Prudenville, MI 48651-9451
Phone: (989) 366-7525
Fax: (989) 366-5405
Mailing address: PO Box 20, Prudenville, MI 48651-0020

Authorised official

Name: Kyle Bates
Title: Optometrist
Phone: (989) 366-7525

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Michigan →

Registry record

NPI: 1003557133
Entity type: Organization
NPI issued: 5 Apr 2022
Record last updated: 5 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.