LAKE AVENUE EYECARE LLC; NPI #1396932430

Contact Information

LAKE AVENUE EYECARE LLC

829 LAKE AVE
GOTHENBURG, NE 69138-1943

Phone: 308-537-3390
Fax: 308-537-3391
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Eyewear Supplier	332H00000X	87	All Other Suppliers
Optometrist	152W00000X	41	Optometry

Indicates primary specialty

Edit contact information

NPI Profile & details for LAKE AVENUE EYECARE LLC

NPI Number 1396932430

LBN Legal business name LAKE AVENUE EYECARE LLC

Authorized official JOHN GOSNELL - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/03/2007

Last updated 10/27/2022 - About 4 years ago

Identifiers

NE	License #	1166
NE	Medicaid	10024987700
	Other	06754	BLUE CROSS BLUE SHIELDPIN
	Other	240481	MIDLANDS CHOICE

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.

Reviews for LAKE AVENUE EYECARE LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for LAKE AVENUE EYECARE LLC
Be the first to post a comment or review.

Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Suppliers

DEXEL PETERS, OD
144 KARLSRUHE STRASSE
HEIDELBERG, BADEN-WURTTEMBERG

LARRY D MOOMEY, OD
801 NO GRANT
LEXINGTON, NE

LEXINGTON FAMILY EYECARE
801 NORTH GRANT STREET
LEXINGTON, NE

COMPLETE EYE CARE ASSOCIATES LLC
111 SOUTH BAILEY AVE
NORTH PLATTE, NE

MARK R YOUNG M.D.P.C.
1214 WEST A STREET
NORTH PLATTE, NE

JASON T. SEIM, P.C.
409 NEBRASKA AVE.
ARAPAHOE, NE

JOHNSON COUNTY HOSPITAL
620 MAIN ST
ADAMS, NE

MICHELLE M JAROSZ, LMHC
762 S 4TH RD
ADAMS, NE

SARAH C SCHROEDER, DDS
610 MAIN ST STE A
ADAMS, NE

LIARA BAYLON
9150 REDMAN PLAZA
0MAHA, NE

View all Suppliers

LAKE AVENUE EYECARE LLC

Contact Information

Specialty

Eyewear Supplier

Optometrist

NPI Profile & details for LAKE AVENUE EYECARE LLC

Reviews for LAKE AVENUE EYECARE LLC