DR. JACK MICHAEL LAMOINE OD
NPI 1396585923
Optometrist in Bloomington, MN

Active since May 30, 2024PECOS EnrolledAccepts Medicare Assignment
9117 LYNDALE AVE S, BLOOMINGTON, MN 55420(952) 835-1235(952) 835-1092 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jack Michael Lamoine Od NPPES

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

DR. JACK MICHAEL LAMOINE OD (NPI 1396585923) is an individual optometrist in Bloomington, Minnesota, licensed in Minnesota (4024) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2024).

NPPES Registry Identity

NPI1396585923
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACK MICHAEL LAMOINECredential: OD
Location Address9117 LYNDALE AVE SBloomington, MN 55420-3522
Mailing Address2919 Chestnut StGrand Forks, ND 58201-7527
Fax(952) 835-1092
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2024
Enumeration DateMay 30, 2024
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1396585923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MN · 4024 Licensed in OR · 390200000X Licensed in CO · OPT.0004048
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.

9117 LYNDALE AVE S, Bloomington, MN 55420

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Michael Lamoine Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830690577
PECOS Enrollment IDI20250903000183
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Ophthalmologic Surgery)
9117 LYNDALE AVE S
BLOOMINGTON, MN 55420
Optometrist
9117 LYNDALE AVE S
BLOOMINGTON, MN 55420
Optometrist
9117 LYNDALE AVE S
BLOOMINGTON, MN 55420
Specialist
9117 LYNDALE AVE S
BLOOMINGTON, MN 55420
Optometrist
9117 LYNDALE AVE S
BLOOMINGTON, MN 55420
Optometrist
9117 LYNDALE AVE S
BLOOMINGTON, MN 55420
Ophthalmology
9117 LYNDALE AVE S
BLOOMINGTON, MN 55420

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 Jack Lamoine's NPI number?

The NPI number for Jack Lamoine is 1396585923. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Jack Lamoine located?

Jack Lamoine practices at 9117 Lyndale Ave S, Bloomington, MN 55420. The listed phone number is (952) 835-1235.

What is Jack Lamoine's specialty?

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

Is Jack Lamoine enrolled in Medicare?

Yes. Jack Lamoine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Lamoine was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.