Active NPI
Lakes Area Eyecare, Inc.
- Optometrist
- Baxter, MN
National Provider Identifier
1992755920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MN1980
- Legal business name
- LAKES AREA EYECARE, INC.
- Practice address
- 7734 Excelsior Rd. N.
Baxter, MN 56425 - Phone
- (218) 829-2929
- Fax
- (218) 829-4747
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kay Lynette Gunnarson
- Title
- Office Manager/Owner
- Phone
- (218) 829-2929
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MN1980 | MN | Primary |
| Optometrist | 152W00000X |
Addresses
Primary practice location
7734 Excelsior Rd. N.
Baxter, MN 56425
Mailing address
7734 Excelsior Rd. N.
Baxter, MN 56425
Phone (218) 829-2929
National Provider Directory
National Provider DirectoryLocations
7734 Excelsior Rd
Ste 101
Baxter, MN 56425
Phone (218) 829-2929
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Alexandria, MN
- NPI 1336137256
-
- Optometrist
- Little Falls, MN
- NPI 1083603831
-
- Optometrist
- Baxter, MN
- NPI 1932210143
-
- Optometrist
- Fargo, ND
- NPI 1699833301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392940800000",
"number": "1992755920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7734 EXCELSIOR RD. N.",
"city": "BAXTER",
"state": "MN",
"postal_code": "56425",
"telephone_number": "218-829-2929",
"fax_number": "218-829-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7734 EXCELSIOR RD. N.",
"city": "BAXTER",
"state": "MN",
"postal_code": "56425",
"telephone_number": "218-829-2929",
"fax_number": "218-829-4747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKES AREA EYECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2014-02-21",
"status": "A",
"authorized_official_last_name": "GUNNARSON",
"authorized_official_first_name": "KAY",
"authorized_official_middle_name": "LYNETTE",
"authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
"authorized_official_telephone_number": "218-829-2929"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "MN1980",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.