Individual provider Active NPI

Albert Ray Lamotte, OD

  • Optometrist
  • Bloomington, MN
National Provider Identifier
1386626794
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1893 Issued in MN
Practice address
200 American Blvd W
Bloomington, MN 55420-1120
Phone
(952) 888-6110
NPI assigned
Nov 20, 2005
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1893 MN Primary

Addresses

Primary practice location

200 American Blvd W
Bloomington, MN 55420-1120

Mailing address

10805 173Rd St W Apt 127
Lakeville, MN 55044-5338
Phone (612) 701-7064

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050418000334 MN Practitioner - Optometry 1052359445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1893MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
DJ-MN Inc CurrentSince Oct 7, 2024 Accepting new patients
Minocqua Optical & Wellness LLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
DJ-MN Inc CurrentSince Oct 7, 2024 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Usv Optical Inc Optometrist PastSince Jan 1, 2023 Accepting new patients
Marshfield Clinic Inc Past Accepting new patients

Locations

12 Bridge Sq
Ste 101
Anoka, MN 55303
Phone (763) 421-4334

504 Pine St
Monticello, MN 55362
Phone (763) 295-0004

1334 N 4th St
Ste 101
Tomahawk, WI 54487
Phone (715) 224-2200

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1386626794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 173RD ST W APT 127",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445338",
            "telephone_number": "612-701-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AMERICAN BLVD W",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201120",
            "telephone_number": "952-888-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTTE",
        "first_name": "ALBERT",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-20",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.