Lakeshore Professional Eyecare PC
NPI 1629251400ActiveOrganization· Optometrist· Norton Shores, MI
Optometrist in Norton Shores, Michigan, registered in NPPES in December 2007. The authorized official on file is Douglas L. Totten, O.D., President. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1629251400 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2007 |
| Last updated in NPPES | Jul 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901003038 | MI |
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 DME Supplier - Physician - Optometrist (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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