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NPI · 1558450452 · NPPES-sourced

Lake Ridge Eye Care PA

ActiveOptometrist
NPI Number
1558450452
Type 2 · Organisation
Taxonomy Code
152W00000X
Contact
(972) 641-5900
License TX · 6592TG
Last Updated
Enumerated
Primary practice addressTX · 75052-3073
4927 Lake Ridge Pkwy, Ste. 160Grand Prairie, TX 75052-3073
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About this NPIWhat this record shows.

NPI 1558450452 is registered to Lake Ridge Eye Care PA, a healthcare organisation classified as "Optometrist" and located at 4927 Lake Ridge Pkwy, Ste. 160 in Grand Prairie, Texas. The organisation's authorised official is Carolyn Kha. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lake Ridge Eye Care PA accepts. To confirm in-network status with your specific health plan, contact Lake Ridge Eye Care PA directly at (972) 641-5900.

Frequently asked

Yes. NPI 1558450452 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (972) 641-5900.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lake Ridge Eye Care PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy152W00000X
Last updated
Enumerated
StatusActive
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