NPI 1396932430

Lake Avenue Eyecare LLC

Organisation Eyewear Supplier Gothenburg, NE

Practice location

Address: 829 Lake Ave, Gothenburg, NE 69138-1943
Phone: (308) 537-3390
Fax: (308) 537-3391

Authorised official

Name: John a Gosnell
Title: Owner
Phone: (308) 537-3390

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 1166 (NE)

Other Eyewear Supplier providers in Nebraska →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1166 (NE)

Other Optometrist providers in Nebraska →

Registry record

NPI: 1396932430
Entity type: Organization
NPI issued: 3 Oct 2007
Record last updated: 27 Oct 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.