Lisa Anne Dawson-Clausen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2731 Issued in MN

Practice address

16250 Duluth Ave SE Ste 100
Prior Lake, MN 55372-2883

Phone

(952) 447-2020

Fax

(952) 447-2322

NPI assigned

Sep 29, 2005

Last updated

Mar 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lisa Anne Dawson Other name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads Optometric Clinic, Inc.Group PAC ID 5991733289, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crossroads Optometric Clinic, Inc.

  dba Lakeside Family Eye Care

  • Optometrist
  • Prior Lake, MN
  • NPI 1164448627
  Medicare reassignment Care Compare group NPD Authorized official
• Family Eye Clinic & Contact Lens Center

  • Optometrist
  • Bloomington, MN
  • NPI 1689600900
  NPD (past)
• Family Eye Clinic & Contact Lens Center

  • Optometrist
  • Eden Prairie, MN
  • NPI 1780671321
  NPD (past)
• S.J.R. Eye Care LLC

  • Optometrist
  • Prior Lake, MN
  • NPI 1649502394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1003803677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 DULUTH AVE SE STE 100",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722883",
            "telephone_number": "952-447-2020",
            "fax_number": "952-447-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 DULUTH AVE SE STE 100",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722883",
            "telephone_number": "952-447-2020",
            "fax_number": "952-447-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14120 Commerce Ave NE",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Prior Lake",
            "state": "MN",
            "postal_code": "553720000",
            "country_code": "US",
            "telephone_number": "952-447-2020",
            "fax_number": "952-447-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON-CLAUSEN",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DAWSON",
            "middle_name": "ANNE",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Portia Dadzie
• Ali Abdi Dahir
• Andrew Kevin Dahlen, M.A.
• Carlene Therese Daley, COTA/L
• Erika Marie Davis, LMFT
• DDS House Call, PLLC
• Deswil Medical Group PLLC (Arise Medical and Wellness)
• Brian Mark Devitt, D.C.
• Naa Yemoley Dodoo
• Domier Chiropractic, PLLC

• Optometrist in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.