Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Country Eye Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1770458754

Lake Country Eye Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Waukesha, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

N19W23993 Ridgeview Pkwy W
Waukesha, WI 53188-1030
Phone: (417) 889-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1770458754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert McCarville — Administrator · (417) 889-2040
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing addressN19w23993 Ridgeview Pkwy W, Waukesha, WI 53188-1030

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