Lakeside Optometry, PC
NPI 1700338779ActiveOrganization· Optometrist· Stockton, CA
Optometrist in Stockton, California, registered in NPPES in October 2016. The authorized official on file is Chinh T. Nguyen, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700338779 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2016 |
| Last updated in NPPES | Oct 26, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 11714T | CA |
| Optometrist | 152W00000X | OPT 12656 TPL | CA |
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 (CA) |
|---|
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