Ovo Lasik and Lens LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OVO LASIK AND LENS LLC

Practice address

6099 Wayzata Blvd
St Louis Park, MN 55416

Phone

(877) 686-3937

NPI assigned

Aug 17, 2021

Last updated

Jan 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark C Lobanoff, MDNPI 1205870045

Title

Owner

Phone

(763) 772-7173

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: mshipitalo@ovoll.intellechartdirect.net

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Lobanoff, M.D.

  • Ophthalmology Physician
  • St Louis Park, MN
  • NPI 1205870045
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Joel Johnson, O.D.

  • Optometrist
  • St Louis Park, MN
  • NPI 1780710459
  Medicare reassignment Care Compare group NPD
• Elizabeth Lepage, O.D.

  • Optometrist
  • Maple Grove, MN
  • NPI 1831508811
  Medicare reassignment Care Compare group NPD
• Troy D Loomis, OD

  • Optometrist
  • Minneapolis, MN
  • NPI 1568422301
  Medicare reassignment Care Compare group NPD
• Margaret Mary Shipitalo, OD, MS

  • Optometrist
  • St Louis Park, MN
  • NPI 1760968895
  Medicare reassignment Care Compare group NPD
• David W Whiting, M.D.

  • Ophthalmology Physician
  • St Louis Park, MN
  • NPI 1003836479
  Medicare reassignment Care Compare group NPD
• Martha Frances Whiting, MD

  • Ophthalmology Physician
  • St Louis Park, MN
  • NPI 1134748924
  Medicare reassignment Care Compare group NPD
• Theresa K Klinge, O.D.

  • Optometrist
  • Edina, MN
  • NPI 1710953161
  Medicare reassignment NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1770259087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD STE 100-120",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "952-204-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "877-686-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVO LASIK AND LENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "LOBANOFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-772-7173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.schmidt@ovoeye.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "6099 Wayzata Blvd",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristie Ott
• Jeffrey William Otte, ATC
• Hillary Otto, M.S. OT
• Lisa Youn Kyung Otto, DPT
• Colleen Overman, OTR/L
• Ovo Obs LLC
• Michele Owens, LMFT
• Oxybora Distributing, LLC (Best Aid Pharmacy)
• Laura Pagel
• Nicole Marie Pagel, DO

• Ophthalmology Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.