Lake Optical is a
Eyewear Supplier based in Rice Lake, Wisconsin. Lake Optical is licensed to practice in Wisconsin (license number ) and their current practice location is
2900 S Main St, Rice Lake, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(715) 234-1511.
NPI number for Lake Optical is 1184727729 and their current mailing address is 2900 S Main St, Rice Lake, Wisconsin. Lake Optical
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1184727729.
Healthcare Provider's Profile
| Full Name | Lake Optical |
|---|
| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 2900 S Main St, Rice Lake, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184727729
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Lake Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184727729 | NPI | - | NPPES |
| 38419400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lake Optical is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lake Optical
2900 S Main St,
Rice Lake, WI 54868
Ph: (715) 234-1511 | Lake Optical
2900 S Main St,
Rice Lake, WI 54868
Ph: (715) 234-1511 |
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