National Provider Identifier Database

LAKE OPTOMETRIC VISION PA
Optometrist

Doctors 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 identify related systemic conditions affecting the eye.


Contact Information

LAKE OPTOMETRIC VISION PA
12700 LAKE BLVD
LINDSTROM, MN55045
Phone: 651-257-2419
Fax: 651-257-2419
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for LAKE OPTOMETRIC VISION PA

NPI Number 1831356773
Legal business name
LBN
LAKE OPTOMETRIC VISION PA
Authorized official VERNON LOVDOKKEN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/19/2008
Last updated 05/19/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 2142
  • MN Medicaid: 628823500
  • MN Other: 59389LO BLUE CROSS BLUE SHIELD
  • MN Other: 1861534315 HEALTHPARTNERS
  • MN Other: 2214338 MEDICA
  • MN Other: 45964 PREFERREDONE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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