Organization Active NPI

Lakes Area Eyecare, Inc.

  • Optometrist
  • Baxter, MN
National Provider Identifier
1992755920
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MN1980 Issued in MN
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

Updated by the provider on Feb 21, 2014

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X MN1980 MN Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.