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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

NPI # 1659123081
LBN Legal business name LAKESIDE EYECARE LLC
Authorized official MONTE HARREL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/01/2024
Last updated 05/26/2026 - About 2 weeks ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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