Lake Ridge Eye Care PA
NPI 1558450452 · Optometrist · Grand Prairie, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Ridge Eye Care PA is a Optometrist organization in Grand Prairie, TX (NPI 1558450452).
Provider details
- NPI number
- 1558450452
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Carolyn Kha, Owner(972) 641-5900
- License
- 6592TG (TX)
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
19 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
- 2006-10-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lake Ridge Eye Care PA's NPI number?
- Lake Ridge Eye Care PA's National Provider Identifier (NPI) is 1558450452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Ridge Eye Care PA?
- Lake Ridge Eye Care PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Lake Ridge Eye Care PA located?
- Lake Ridge Eye Care PA's practice location on file with NPPES is 4927 Lake Ridge Pkwy, Grand Prairie, TX 75052-3073.
- What is Lake Ridge Eye Care PA's phone number?
- The practice phone number listed in the NPPES registry for Lake Ridge Eye Care PA is (972) 641-5900.
- Does Lake Ridge Eye Care PA accept Medicare?
- Lake Ridge Eye Care PA 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 Lake Ridge Eye Care PA?
- The authorized official listed on Lake Ridge Eye Care PA's NPPES record is Carolyn Kha, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Ridge Eye Care PA's NPI active?
- Yes — Lake Ridge Eye Care PA's NPI (1558450452) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.