Lakeside Vision INC

NPI #1790789550 in Prudenville, Michigan

Provider Information

NPI Number: 1790789550
Entity Type: Organization
Organization Name: Lakeside Vision INC
Primary Specialty: Optometrist
Enumeration Date: Jun 9, 2005
Last Updated: Jul 16, 2008

Practice Location

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

Authorized Official

Name: JENNIFER BOGGS
Title: OFFICE MANAGER
Phone: (989) 366-7525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Provider Name	Specialty	City
Lakeside Vision, Prudenville, PC	Optometrist	Prudenville	AI Deep Dive

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