Lakeside Vision, Prudenville, PC

NPI #1003557133 in Prudenville, Michigan

Provider Information

NPI Number: 1003557133
Entity Type: Organization
Organization Name: Lakeside Vision, Prudenville, PC
Primary Specialty: Optometrist
Enumeration Date: Apr 5, 2022
Last Updated: Apr 5, 2022

Practice Location

Address: 888 W HOUGHTON LAKE DR
City: Prudenville
State: Michigan
ZIP Code: 48651-9451
Phone: (989) 366-7525

Authorized Official

Name: KYLE BATES, OD
Title: OPTOMETRIST
Phone: (989) 366-7525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Lakeside Vision INC	Optometrist	Prudenville	AI Deep Dive

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