Lakeside Family Eye Care
LBN: Crossroads Optometric Clinic, Inc.
Lakeside Family Eye Care is an health care organization with primary practice located at 16250 Duluth Ave Se Ste 100 , Prior Lake MN 55372-2883. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Crossroads Optometric Clinic, Inc. can be contacted via phone (952) 447-2020, or through Dawson-Clausen, Lisa Anne via phone (952) 447-2020.
Contact Information
Primary practice address
16250 Duluth Ave Se Ste 100
Prior Lake MN 55372-2883
Phone: (952) 447-2020
Fax: (952) 447-2322
Website:
Authorized official contact:
Name: Dawson-Clausen, Lisa Anne Doctor of Optometry (OD)
Phone: (952) 447-2020
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0001425 | Minnesota |
Profile Details
| NPI number | 1164448627 |
|---|---|
| LBN Legal business name | Crossroads Optometric Clinic, Inc. |
| DBA Doing business as | Lakeside Family Eye Care |
| Authorized official | Dawson-Clausen, Lisa Anne Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Dec 8th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164448627 | NPPES |
| Minnesota | Other | 92364 | PREFERRED ONE |
| Minnesota | Other | 2123989 | PREFERRED ONE |
| Minnesota | Other | 3C258CR | PREFERRED ONE |
| Minnesota | Other | 4825 | PREFERRED ONE |
| Minnesota | Other | 51154HI | PREFERRED ONE |
| Minnesota | Other | 2223987 | PREFERRED ONE |
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