Lakeside Vision, Prudenville, PC
NPI 1003557133 · Optometrist · Prudenville, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Vision, Prudenville, PC is a Optometrist organization in Prudenville, MI (NPI 1003557133).
Provider details
- NPI number
- 1003557133
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kyle Bates, Optometrist(989) 366-7525
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Frequently asked questions
- What is Lakeside Vision, Prudenville, PC's NPI number?
- Lakeside Vision, Prudenville, PC's National Provider Identifier (NPI) is 1003557133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Vision, Prudenville, PC?
- Lakeside Vision, Prudenville, PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Lakeside Vision, Prudenville, PC located?
- Lakeside Vision, Prudenville, PC's practice location on file with NPPES is 888 W Houghton Lake Dr, Prudenville, MI 48651-9451.
- What is Lakeside Vision, Prudenville, PC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Vision, Prudenville, PC is (989) 366-7525.
- Does Lakeside Vision, Prudenville, PC accept Medicare?
- Lakeside Vision, Prudenville, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Vision, Prudenville, PC?
- The authorized official listed on Lakeside Vision, Prudenville, PC's NPPES record is Kyle Bates, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Vision, Prudenville, PC's NPI active?
- Yes — Lakeside Vision, Prudenville, PC's NPI (1003557133) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.