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LAKESIDE FAMILY EYE CARE
NPI 1164448627
Optometrist in Prior Lake, MN

Active since July 15, 2006CLIA 24D2249464 · Waiver
16250 DULUTH AVE SE STE 100, PRIOR LAKE, MN 55372(952) 447-2020(952) 447-2322 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Mar 4, 2020 (2 updates tracked since 2020).

About Lakeside Family Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE FAMILY EYE CARE (NPI 1164448627) is a healthcare organization registered as an optometrist in Prior Lake, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Lisa Anne Dawson-clausen, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1164448627
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCROSSROADS OPTOMETRIC CLINIC, INC.
Location Address16250 DULUTH AVE SE STE 100Prior Lake, MN 55372-2883
Mailing Address16250 Duluth Ave Se Ste 100Prior Lake, MN 55372-2883 · (952) 447-2020 · Fax (952) 447-2322
Phone(952) 447-2020
Fax(952) 447-2322
Organization SubpartNo
Authorized OfficialLisa Anne Dawson-clausenOwner/optometrist · (952) 447-2020
Enumeration DateJuly 15, 2006
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1164448627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 0001425
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
16250 DULUTH AVE SE STE 100, Prior Lake, MN 55372
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Other Names 1

Doing Business AsLakeside Family Eye Care

Other Identifiers 6

Other51154HIMN · Bcbs-mn
Other92364MN · Preferred One
Other2123989MN · Medica Dme
Other3C258CRMN · Bcbs Dme
Other4825MN · Healthpartners
Other2223987MN · Medica

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2249464

Lakeside Family Eye Care · Prior Lake, MN
Active · expires Jan 19, 2028
CLIA Number24D2249464
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorLisa A. Dawson-Clausen
Laboratory Phone(952) 447-2020
Laboratory LocationLakeside Family Eye Care16250 Duluth Ave SE Ste 100, Prior Lake, MN 55372
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA ANNE DAWSON-CLAUSEN O.D.
Optometrist
16250 DULUTH AVE SE STE 100
PRIOR LAKE, MN 55372
Scott County (952) 447-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroads Optometric Clinic, Inc.'s NPI number?

The NPI number for Crossroads Optometric Clinic, Inc. is 1164448627. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Lakeside Family Eye Care.

Where is Crossroads Optometric Clinic, Inc. located?

Crossroads Optometric Clinic, Inc. is located at 16250 Duluth Ave SE Ste 100, Prior Lake, MN 55372. The listed phone number is (952) 447-2020.

What is Crossroads Optometric Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Crossroads Optometric Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2249464) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crossroads Optometric Clinic, Inc. accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee, HealthPartners and Medica and 1 other insurer list Crossroads Optometric Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crossroads Optometric Clinic, Inc. was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.