Lacy Ann Bindl, O.D.
Individual provider Active NPI Optometrist · Richfield, MN
NPI 1881956563 · NPPES record last updated Jun 8, 2012
Key facts
- NPI
- 1881956563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3279 (MN)
- Practice address
- 6500 Penn Ave S
Richfield, MN 55423-1143 - Phone
- (612) 798-1720
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3279 | MN | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3279 | MN | Yes |
Addresses
Primary practice location
6500 Penn Ave S
Richfield, MN 55423-1143
Mailing address
6500 Penn Ave S
Richfield, MN 55423-1143
Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.