Dr Richard B Lake, OD - Optometrist in Winter Haven, FL

Dr Richard B Lake, OD is a Optometrist based in Winter Haven, Florida. Dr Richard B Lake is licensed to practice in Florida (license number OP1036) and his current practice location is 6027 Cypress Gardens Blvd, Winter Haven, Florida. He can be reached at his office (for appointments etc.) via phone at (863) 326-5824.

NPI number for Dr Richard B Lake is 1255338513 and his current mailing address is 685 Shanklin Ave, Bartow, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255338513.

Contact Information

Dr Richard B Lake, OD
6027 Cypress Gardens Blvd,
Winter Haven, FL 33884-4115
(863) 326-5824
Not Available



Healthcare Provider's Profile

Full NameDr Richard B Lake
GenderMale
SpecialityOptometrist
Location6027 Cypress Gardens Blvd, Winter Haven, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255338513
  • Provider Enumeration Date: 07/01/2005
  • Last Update Date: 08/21/2007

Medical Identifiers

Medical identifiers for Dr Richard B Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255338513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OP1036 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard B Lake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Richard B Lake, OD
685 Shanklin Ave,
Bartow, FL 33830-4335

Ph: (863) 533-1363
Dr Richard B Lake, OD
6027 Cypress Gardens Blvd,
Winter Haven, FL 33884-4115

Ph: (863) 326-5824

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› Verified 9 days ago


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