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

RIVER LAKE CLINIC LLC

Active Organization

RIVER LAKE CLINIC LLC is a Optometrist organization located in MINNEAPOLIS, Minnesota. NPI 1902932965 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MINNEAPOLIS, MN

Registration Details

NPI Number
1902932965
Provider Type
Organization
NPI Issued
Feb 26, 2007 (19.482770990004 yrs)
Last Updated
Jan 30, 2014
Licenses
1652 (MN)
1652 (MN)
3331 (MN)
3331 (MN)
3331 (MN)

Practice Information

Address
4323 E LAKE ST
MINNEAPOLIS, MN, 554062307
Browse MN providers · Browse ZIP 55406
Phone
6127221003
Fax
6127216336
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Vision Therapy Optometrist
Additional Specialty
Optometrist
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.