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

Lake Ridge Eye Care PA

Organization Optometrist · NPI 1558450452

Lake Ridge Eye Care PA is an Optometrist in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4927 Lake Ridge Pkwy Ste 160
Grand Prairie, TX 75052-3073
Phone: (972) 641-5900
Fax: (972) 641-5903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6592TG (TX)

Record details

NPI number1558450452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Kha — Owner · (972) 641-5900
NPI enumeratedOctober 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4927 Lake Ridge Pkwy, Ste. 160, Grand Prairie, TX 75052-3073

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