Provider Demographics
NPI:1487803961
Name:NORTH SHORE EYE CARE, P.A.
Entity type:Organization
Organization Name:NORTH SHORE EYE CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:CHERIE
Authorized Official - Last Name:KERNS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-364-7932
Mailing Address - Street 1:7708 LOHMANS FORD RD
Mailing Address - Street 2:BLDG., A, SUITE 102
Mailing Address - City:LAGO VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78645-4781
Mailing Address - Country:US
Mailing Address - Phone:512-267-7700
Mailing Address - Fax:
Practice Address - Street 1:7708 LOHMANS FORD RD
Practice Address - Street 2:BLDG., B, SUITE 102
Practice Address - City:LAGO VISTA
Practice Address - State:TX
Practice Address - Zip Code:78645-4781
Practice Address - Country:US
Practice Address - Phone:512-267-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6895TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty