| Lakeside Vision, Prudenville, Pc | |
|
888 W Houghton Lake Dr, Prudenville, MI 48651-9451 | |
| (989) 366-7525 | |
| (989) 366-5405 |
| Full Name | Lakeside Vision, Prudenville, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 888 W Houghton Lake Dr, Prudenville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003557133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Louis E Boggs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134123987 PECOS PAC ID: 6709950157 Enrollment ID: I20080801000395 |
| Provider Name | Kyle Scott Bates |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932767191 PECOS PAC ID: 0648504241 Enrollment ID: I20190702002146 |
| Provider Name | Ryan Joseph Chrencik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487427316 PECOS PAC ID: 5294182945 Enrollment ID: I20231117000196 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Vision, Prudenville, Pc Po Box 20, Prudenville, MI 48651-0020 Ph: (989) 366-7525 | Lakeside Vision, Prudenville, Pc 888 W Houghton Lake Dr, Prudenville, MI 48651-9451 Ph: (989) 366-7525 |
Louis E Boggs, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 888 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-7525 Fax: 989-366-5405 | |
Lakeside Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 888 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-7525 Fax: 989-366-5405 | |
Dr. Kyle Scott Bates, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 888 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-7525 |