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

Lakeside Optometry, PC

Organization Optometrist · NPI 1700338779

Lakeside Optometry, PC is an Optometrist in Stockton, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3461 Brookside Rd Ste A-1
Stockton, CA 95219-1741
Phone: (209) 451-4305
Fax: (209) 622-4283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11714T (CA)
Optometrist Taxonomy 152W00000X · Licence OPT 12656 TPL (CA)

Record details

NPI number1700338779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chinh Nguyen — President · (209) 451-4305
NPI enumeratedOctober 26, 2016
Last updated in NPPESOctober 26, 2016
Mailing address3461 Brookside Rd Ste A-1, Stockton, CA 95219-1741

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