Lakeline Vision, P.C.
NPI 1265489777ActiveOrganization· Optometrist· Cedar Park, TX
Optometrist in Cedar Park, Texas, registered in NPPES in May 2006. The authorized official on file is Michelle L. Wiggins, Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265489777 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2006 |
| Last updated in NPPES | Oct 5, 2020 |
| Certified by provider | Oct 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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All 63 optometrists in Cedar Park · All optometrists in Texas