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

Lakeside Vision, Prudenville, PC

Organization Optometrist · NPI 1003557133

Lakeside Vision, Prudenville, PC is an Optometrist in Prudenville, Michigan. Registered with an NPI since 2022.

In the registry since
2022
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

888 W Houghton Lake Dr
Prudenville, MI 48651-9451
Phone: (989) 366-7525
Fax: (989) 366-5405
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1003557133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Bates — Optometrist · (989) 366-7525
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing addressPo Box 20, Prudenville, MI 48651-0020

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