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Blue Lakes Eye Care, Pllc

Blue Lakes Eye Care, Pllc is a healthcare organization registered as Optometrist in Eagan, MN, holding Type 2 (organization) NPI 1457186850 since 2024. The authorized official on file is Doreen Boelter, Accts.

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NPI 1457186850
Entity type Organization (Type 2)
Legal business name Blue Lakes Eye Care, Pllc
Other name <Unavail>
Practice address 855 VIKINGS PKWY STE B, Eagan, MN, 55121
Phone 6512804420
Fax 6512804115
Enumeration date 2024-09-04
Last updated in NPPES 2026-02-09

Authorized official

Name Doreen Boelter
Title Accts
Phone 6515035463

Taxonomy & classification

Taxonomy code Specialty Primary License State
152W00000X Optometrist Primary
Copy-ready billing details
Provider: Blue Lakes Eye Care, Pllc
NPI: 1457186850
Taxonomy: 152W00000X (Optometrist)
Address: 855 VIKINGS PKWY STE B, Eagan, MN, 55121

Providers at this address

NPI Name Type Specialty Location
1275622482 Robert Hegerman Individual Optometrist Eagan, MN
1053696104 Emily Bjore Individual Optometrist Eagan, MN

Verify this record

Cross-check NPI 1457186850 against the authoritative CMS record: view Blue Lakes Eye Care, Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Blue Lakes Eye Care, Pllc?
Blue Lakes Eye Care, Pllc is registered in NPPES as a Optometrist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-09.