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RICHARD B LAKE O.D., NPI 1255338513

Optometrist in BARTOW, FL

Last Updated on : Aug 21,2007

RICHARD B LAKE O.D., NPI 1255338513

About RICHARD B LAKE (NPI 1255338513)


RICHARD B LAKE is an Optometrist provider in BARTOW, United States. His medical specialization is Optometrist .

1255338513 is NPI number of RICHARD B LAKE.

RICHARD B LAKE's primary taxonomy code based on NPI Lookup is 152W00000X with license number OP1036. This taxonomy code refers to Optometrist.

RICHARD B LAKE has more than 16 years of experience.

RICHARD B LAKE current practice location address is 685 SHANKLIN AVE, BARTOW, FL. RICHARD B LAKE can be reached out via phone at 863-533-1363 .

You can also correspond with RICHARD B LAKE through mail at mailing address 6027 CYPRESS GARDENS BLVD, WINTER HAVEN, FL, United States. Mailing address contact number is 863-326-5824.

The enumeration date of RICHARD B LAKE is 01-Jul-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1255338513 NPI Information

Basic NPI information of RICHARD B LAKE (NPI 1255338513) is provided below.

Name RICHARD B LAKE
National Provider Id (NPI) 1255338513
Entity Type Individual
Gender M
Credential O.D.
Practice Address 685 SHANKLIN AVE,
BARTOW, FL, United States
Practice Telephone 863-533-1363
Practice Fax Number
Mailing Address 6027 CYPRESS GARDENS BLVD ,
WINTER HAVEN, FL, United States
Mailing Telephone 863-326-5824
Mailing Fax Number
Enumeration Date 01-Jul-2005
Last Updated Date 21-Aug-2007

RICHARD B LAKE (NPI 1255338513) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 152W00000X Optometrist OP1036 FL

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
078372200 MEDICAID (05) FL
19402 MEDICARE ID-Type Unspecified (04) FL
T84109 MEDICARE UPIN (02) FL

RICHARD B LAKE (NPI 1255338513) Office Location

Office location of RICHARD B LAKE is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1427521418 MICHAEL ENGLERT Counselor, Addiction (Substance Use Disorder) 6368 RIVERLAKE CT,
BARTOW, FL, United States
02-Jan-2019
1003351800 IMPRICE JOHNSON Registered Nurse PO BOX 1559,
BARTOW, FL, United States
03-Jan-2017
1538676291 CONNIE MARIE ALKOKA Nurse Practitioner, Family 620 E STANFORD ST,
BARTOW, FL, United States
03-Jan-2018
1760927305 RAQUEL HUNTLEY Licensed Practical Nurse PO BOX 1559,
BARTOW, FL, United States
05-Jan-2017
1538557905 CYNTHIA EVETTE GRAHAM Registered Nurse 1255 GOLFVIEW AVE,
BARTOW, FL, United States
07-Jan-2015
1235630922 GREENWAY MEDICAL TRANSPORT, LLC Non-emergency Medical Transport (VAN) 1932 GRIFFIN TRL,
BARTOW, FL, United States
27-Feb-2018
1124564513 KIM E. STEWART Registered Nurse PO BOX 1559,
BARTOW, FL, United States
10-Jan-2017
1063929180 EVONNE COBBETT Community Health Worker 600 EL PASEO,
LAKELAND, FL, United States
10-Jan-2018
1235469495 HALEY ALLISON LEWIS Speech-Language Pathologist, 1920 EF GRIFFIN RD,
BARTOW, FL, United States
11-Jan-2010
1942666540 RUTH COLSON Licensed Practical Nurse PO BOX 1559,
BARTOW, FL, United States
12-Jan-2016
1568767028 ROSALIND M TYRE Social Worker, Clinical PO BOX 1559,
BARTOW, FL, United States
14-Jan-2011
1720264104 TAMMY M DURDEN Registered Nurse, School 1290 GOLFVIEW AVE,
BARTOW, FL, United States
15-Jan-2008
1982841664 REBECCA C DUVALL Chiropractor 1335 US HIGHWAY 17 S,
BARTOW, FL, United States
16-Jan-2009
1831437326 ALICE C KOOS Pharmacist 255 EAST VAN FLEET,
BARTOW, FL, United States
18-Jan-2013
1083071302 BRANDI ANCRUM Chiropractor 680 E MAIN ST, STE 101
BARTOW, FL, United States
16-Jan-2016
1225008477 SUELLEN CIRELLI Nurse Practitioner, Adult Health 1064 N. BROADWAY AVE,
BARTOW, FL, United States
23-Jan-2006
1770821274 SUZANNE MCMAHON OSTHOFF Pharmacist 255 E VAN FLEET DR,
BARTOW, FL, United States
18-Jan-2013
1821336272 MARK M KING Pharmacist 255 E VAN FLEET DR,
BARTOW, FL, United States
18-Jan-2013
1023475100 LAQUSHIA DURANT Licensed Practical Nurse PO BOX 1559,
BARTOW, FL, United States
21-Jan-2016
1801394010 JAYNE NICHOLE MCCORMICK Registered Nurse PO BOX 1559,
BARTOW, FL, United States
23-Jan-2018

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1255338513?

1255338513 is the NPI number of RICHARD B LAKE.

What is the specialty for RICHARD B LAKE?

The Specialty of RICHARD B LAKE is Optometrist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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