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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE OPTOMETRIC VISION PA

Active Organization

LAKE OPTOMETRIC VISION PA is a Optometrist organization located in LINDSTROM, Minnesota. NPI 1831356773 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LINDSTROM, MN

Registration Details

NPI Number
1831356773
Provider Type
Organization
NPI Issued
May 19, 2008 (18.225272194007 yrs)
Last Updated
May 19, 2008
License
2142 (MN)

Practice Information

Address
12700 LAKE BLVD
LINDSTROM, MN, 55045
Browse MN providers · Browse ZIP 55045
Phone
6512572419
Fax
6512572419
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.