LIFEVIEW GLAUCOMA CENTER PC NPI 1063064640

NPI Information

  • NPI: 1063064640
  • Provider Name: LIFEVIEW GLAUCOMA CENTER, PC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Former Legal Business Name: LIFEVIEW GLAUCOMA CENTER
  • Address: 1702 MILLER TRUNK HWY STE 206
    DULUTH, MN
    ZIP 55811
  • Phone: (218) 517-5151

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NPI Details

LIFEVIEW GLAUCOMA CENTER, PC is an ophthalmology in Duluth, MN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. LIFEVIEW GLAUCOMA CENTER, PC NPI is 1063064640. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Lifeview Glaucoma Center.

The provider's business location address is:

1702 MILLER TRUNK HWY STE 206
DULUTH, MN
ZIP 55811-448
Phone: (218) 517-5151
Fax: (217) 517-5141

The provider's authorized official is Elisabeth Petitfond Aponte .
The authorized official title is Ophthalmologist and has the following contact phone number (218) 517-5151.

The enumeration date for this NPI number is 7/12/2019 and was last updated on 9/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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