NPI age
17 years
Enumerated 2009-04-15
● Active Type 2 · Organization
Lakeside Eyecare
Lakeside Eyecare is 1 of 598 optometrist organizations in Idaho.
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Calderwood
Owner
Last NPPES update
2010-02-05
Source: monthly bulk 2026-05
How this organization compares
Across 598 active optometrist providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-04Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
312 N 4th St
Coeur D Alene, ID 838142812
Mailing address
312 N 4th St
Coeur D Alene, ID 838142812
Authorized official
John Lloyd Calderwood, O.D.
Owner
📞 2086761422
Specialties
-
Optometrist PrimaryDoctors 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807139300 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.