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Lake Optometric Vision PA

Optometrist in Lindstrom, MN · enumerated 2008 · authorized official Vernon Lovdokken, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831356773

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Optometric Vision PA
Other name <Unavail>
Practice address 12700 Lake Blvd, Lindstrom, MN, 55045
Fax (651) 257-2419
Enumeration date May 19, 2008
Last updated in NPPES May 19, 2008

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 2142 (MN) Primary

Authorized official

Name Vernon Lovdokken
Title Owner

Other identifiers

Identifier Type State Issuer
59389LO Other MN BLUE CROSS BLUE SHIELD
628823500 Medicaid MN -
1861534315 Other MN HEALTHPARTNERS
45964 Other MN PREFERREDONE
2214338 Other MN MEDICA

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-05-19. Verify at npiregistry.cms.hhs.gov.
Where is Lake Optometric Vision PA located?
The practice location on file with NPPES is in Lindstrom, MN.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-19.