OrganizationActive
Lakeside Vision Inc
NPI 1790789550 · Optometrist · Prudenville, MI
Lakeside Vision Inc is a Optometrist organization in Prudenville, MI (NPI 1790789550).
Provider details
- NPI number
- 1790789550
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jennifer Boggs, Office Manager(989) 366-7525
- License
- MI2953 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
888 W Houghton Lake Dr
Prudenville, MI 48651-9451
Phone: (989) 366-7525
Fax: (989) 366-5405
Street-level locationGet directions
Mailing address
888 W Houghton Lake Dr
Prudenville, MI 48651-9451
Registry dates
- Enumerated
- 2005-06-09
- Last updated
- 2008-07-16
Frequently asked questions
- What is Lakeside Vision Inc's NPI number?
- Lakeside Vision Inc's National Provider Identifier (NPI) is 1790789550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Vision Inc?
- Lakeside Vision Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Lakeside Vision Inc located?
- Lakeside Vision Inc's practice location on file with NPPES is 888 W Houghton Lake Dr, Prudenville, MI 48651-9451.
- What is Lakeside Vision Inc's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Vision Inc is (989) 366-7525.
- Who is the authorized official for Lakeside Vision Inc?
- The authorized official listed on Lakeside Vision Inc's NPPES record is Jennifer Boggs, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Vision Inc's NPI active?
- Yes — Lakeside Vision Inc's NPI (1790789550) is active in the NPPES registry as of the last update on 2008-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.