LAKE OPTOMETRIC VISION PA NPI 1831356773

NPI Information

  • NPI: 1831356773
  • Provider Name: LAKE OPTOMETRIC VISION PA
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: LINDSTROM OPTICAL
  • Address: 12700 LAKE BLVD
    LINDSTROM, MN
    ZIP 55045
  • Phone: (651) 257-2419

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NPI Details

LAKE OPTOMETRIC VISION PA is an optometrist in Lindstrom, MN. The provider is 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. LAKE OPTOMETRIC VISION PA NPI is 1831356773. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lindstrom Optical.

The provider's business location address is:

12700 LAKE BLVD
LINDSTROM, MN
ZIP 55045
Phone: (651) 257-2419
Fax: (651) 257-2419

The provider's authorized official is Vernon Bruce Lovdokken .
The authorized official title is Owner and has the following contact phone number (651) 257-2419.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

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
1152W00000XOptometrist2142MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11861534315OTHERMINNESOTAHEALTHPARTNERS
2T65808MEDICARE UPIN
3628823500MEDICAIDMINNESOTA
445964OTHERMINNESOTAPREFERREDONE
559389LOOTHERMINNESOTABLUE CROSS BLUE SHIELD
62214338OTHERMINNESOTAMEDICA
7419000623MEDICARE PIN

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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