Lakeville Family Eye Care Pa
LBN: South Suburban Eyecare Specialists Pa
Lakeville Family Eye Care Pa is an health care organization with primary practice located at 17690 Kenwood Trl , Lakeville MN 55044-9764. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
South Suburban Eyecare Specialists Pa can be contacted via phone (952) 898-9588, or through Mattson, Andrew Joseph via phone (952) 898-9588.
Contact Information
Primary practice address
17690 Kenwood Trl
Lakeville MN 55044-9764
Phone: (952) 898-9588
Fax: (952) 898-2030
Website:
Authorized official contact:
Name: Mattson, Andrew Joseph Doctor of Optometry (OD)
Phone: (952) 898-9588
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X |
Profile Details
| NPI number | 1407059678 |
|---|---|
| LBN Legal business name | South Suburban Eyecare Specialists Pa |
| DBA Doing business as | Lakeville Family Eye Care Pa |
| Authorized official | Mattson, Andrew Joseph Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 6th, 2007 |
| Last updated | Jun 2nd, 2011 - about 13 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 | 1407059678 | NPPES |
| Minnesota | MEDICAID | 176625200 | |
| Minnesota | Other | 499R7LA | |
| Minnesota | Other | 2203175 | |
| Minnesota | Other | 79G34LA | |
| Minnesota | Other | 113428 | |
| Minnesota | Other | 2203175 | |
| Minnesota | Other | 2203175 | |
| Minnesota | Other | A61971031584 |
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