OrganizationActive
Lake Avenue Eyecare LLC
NPI 1396932430 · Eyewear Supplier · Gothenburg, NE
Lake Avenue Eyecare LLC is a Eyewear Supplier organization in Gothenburg, NE (NPI 1396932430).
Provider details
- NPI number
- 1396932430
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- John Gosnell, Owner(308) 537-3390
- License
- 1166 (NE)
Specialties & taxonomies
Suppliers
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
829 Lake Ave
Gothenburg, NE 69138-1943
Phone: (308) 537-3390
Fax: (308) 537-3391
Street-level locationGet directions
Mailing address
829 Lake Ave
Gothenburg, NE 69138-1943
Registry dates
- Enumerated
- 2007-10-03
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Frequently asked questions
- What is Lake Avenue Eyecare LLC's NPI number?
- Lake Avenue Eyecare LLC's National Provider Identifier (NPI) is 1396932430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Avenue Eyecare LLC?
- Lake Avenue Eyecare LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Lake Avenue Eyecare LLC located?
- Lake Avenue Eyecare LLC's practice location on file with NPPES is 829 Lake Ave, Gothenburg, NE 69138-1943.
- What is Lake Avenue Eyecare LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Avenue Eyecare LLC is (308) 537-3390.
- Who is the authorized official for Lake Avenue Eyecare LLC?
- The authorized official listed on Lake Avenue Eyecare LLC's NPPES record is John Gosnell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Avenue Eyecare LLC's NPI active?
- Yes — Lake Avenue Eyecare LLC's NPI (1396932430) is active in the NPPES registry as of the last update on 2022-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.