Organization
LAKESHORE EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROGER BRITZKE O.D. (OWNER)
(574) 970-7444
Entity
Organization
Contact information
Practice address
830 PARKWAY AVE STE E, ELKHART, IN 46516-9343
(574) 970-7444
(574) 970-7453
Mailing address
830 PARKWAY AVE STE E, ELKHART, IN 46516-9343
(574) 970-7444
(574) 970-7453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003206A
IN
Other
Enumeration date
04/09/2006
Last updated
10/28/2015
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