Lake Optometric Vision Pa is a Optometrist Center in Lindstrom, Minnesota. It is situated at 12700 Lake Blvd, Lindstrom and its contact number is 651-257-2419. The authorized person of Lake Optometric Vision Pa is Dr. Vernon Bruce Lovdokken
who is Owner of the clinic and their contact number is 651-257-2419. Primary license number for Lake Optometric Vision Pa is 2142 (Optometrist) in Minnesota. Lake Optometric Vision Pa Center have optometrists who can 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. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Lake Optometric Vision Pa Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
12700 Lake Blvd, Lindstrom, Minnesota, 55045
Phone:
651-257-2419
Fax:
651-257-2419
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Vernon Bruce Lovdokken
Position:
Owner
Contact Number:
651-257-2419
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lake Optometric Vision Pa Center are as mentioned below.
NPI Number:
1831356773
NPI Enumeration Date:
19 May, 2008
NPI Last Update On:
19 May, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Optometric Vision Pa are as mentioned below.
Specialization
License Number
State
Status
Optometrist
2142
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
59389LO
Other
Minnesota
Blue Cross Blue Shield
628823500
Medicaid
Minnesota
1861534315
Other
Minnesota
Healthpartners
45964
Other
Minnesota
Preferredone
2214338
Other
Minnesota
Medica
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lake Optometric Vision Pa 12700 Lake Blvd, Box 552 Lindstrom, Minnesota
Zip:
55045
Phone Number:
651-257-2419
Fax Number:
651-257-2419
Patients can reach Lake Optometric Vision Pa at 12700 Lake Blvd, Lindstrom, Minnesota or can call to book an appointment on 651-257-2419. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.