National Provider Identifier Database

LAKE FAMILY VISION CENTER INC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

LAKE FAMILY VISION CENTER INC
138 SOUTH MAIN
SUITE C
LAURIE, MO65038-1185
Phone: 573-374-5222
Fax: 573-374-7351
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for LAKE FAMILY VISION CENTER INC

NPI Number 1720128713
Legal business name
LBN
LAKE FAMILY VISION CENTER INC
Authorized official WILLIAM SCOGGIN - (OPTOMETRIST OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/07/2007
Last updated 12/21/2007 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: T02682
  • MO Other: 0323200001 CIGNA MEDICARE

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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