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Contact Information

LAKESIDE EYECARE LLC
485 S ELM ST
OOLOGAH, OK74053
 Phone: 918-842-3937
 Fax:
 Website: https://www.lakesideeyecareok.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LAKESIDE EYECARE LLC · (Female)

NPI # 1659123081
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2024
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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