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LONG LAKE EYE LLC
NPI 1225998792
Optometrist in Long Lake, MN

Active since November 17, 2025
1916 W WAYZATA BLVD STE 2, LONG LAKE, MN 55356(612) 366-9808 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2025, Nov 24, 2025, Nov 17, 2025 (3 updates tracked since 2025).

About Long Lake Eye Llc NPPES

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

LONG LAKE EYE LLC (NPI 1225998792) is a healthcare organization registered as an optometrist in Long Lake, Minnesota and active in the NPI registry since November 2025. The organization lists Matthew Lepage, Optometrist / Owner, as its authorized official.

NPPES Registry Identity

NPI1225998792
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLONG LAKE EYE LLC
Location Address1916 W WAYZATA BLVD STE 2Long Lake, MN 55356-9559
Mailing Address202 N Cedar Ave Ste 1Owatonna, MN 55060-2306 · (612) 366-9808
Phone(612) 366-9808
Organization SubpartNo
Authorized OfficialMatthew LepageOptometrist / Owner · (612) 366-9808
Enumeration DateNovember 17, 2025
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1225998792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1916 W WAYZATA BLVD STE 2, Long Lake, MN 55356
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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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Lake Eye Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Long Lake Eye LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Lepage, OD
Optometry
NPI 1225740327
401 PHALEN BLVD FL 2
Saint Paul, MN 55130
(952) 967-7611
✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Long Lake Eye LLC's NPI number?

The NPI number for Long Lake Eye LLC is 1225998792. It was assigned to this organization in the NPPES registry on November 17, 2025.

Where is Long Lake Eye LLC located?

Long Lake Eye LLC is located at 1916 W Wayzata Blvd Ste 2, Long Lake, MN 55356. The listed phone number is (612) 366-9808.

What is Long Lake Eye LLC's specialty?

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

Is Long Lake Eye LLC enrolled in Medicare?

Yes. Long Lake Eye LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Lake Eye LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Long Lake Eye LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Long Lake Eye LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Long Lake Eye LLC 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 Long Lake Eye LLC was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.