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SOUTH SUBURBAN EYECARE SPECIALISTS PA
NPI 1407059678
Optometrist in Lakeville, MN

Active since June 06, 2007
17690 KENWOOD TRL, LAKEVILLE, MN 55044(952) 898-9588(952) 898-2030 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About South Suburban Eyecare Specialists Pa NPPES

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

SOUTH SUBURBAN EYECARE SPECIALISTS PA (NPI 1407059678), doing business as Lakeville Family Eye Care Pa, is a healthcare organization registered as an optometrist in Lakeville, Minnesota and active in the NPI registry since June 2007. The organization lists Andrew Joseph Mattson, President, as its authorized official.

NPPES Registry Identity

NPI1407059678
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTH SUBURBAN EYECARE SPECIALISTS PA
Location Address17690 KENWOOD TRLLakeville, MN 55044-9764
Mailing Address17690 Kenwood TrlLakeville, MN 55044-9764 · (952) 898-9588 · Fax (952) 898-2030
Phone(952) 898-9588
Fax(952) 898-2030
Organization SubpartNo
Authorized OfficialAndrew Joseph MattsonPresident · (952) 898-9588
Enumeration DateJune 6, 2007
Last NPPES UpdateJune 2, 2011
✔ NPI 1407059678 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.
17690 KENWOOD TRL, Lakeville, MN 55044
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Other Names 1

Former Legal Business NameLakeville Family Eye Care Pa

Other Identifiers 9

Other499R7LAMN · Blue Cross Blue Shield Mn
Other2203175MN · Medica
Other113428MN · Health Partners
Other79G34LAMN · Blue Plus
Medicare ID-Type UnspecifiedC04074MN
Medicaid176625200MN
OtherA61971031584MN · Preferred One
Other2203175MN · Select Care
Other2203175MN · United Health Care

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

Other Providers at the Same Location NPPES 3

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

LAKEVILLE FAMILY EYE CARE LLC
Optometrist
17690 KENWOOD TRL
LAKEVILLE, MN 55044
Dakota County (952) 898-9588
DR. ANDREW MATTSON O.D.
Optometrist
17690 KENWOOD TRL
LAKEVILLE, MN 55044
Dakota County (952) 898-9588
DR. JONAH MITCHELL RESNICK O.D.
Optometrist
17690 KENWOOD TRL
LAKEVILLE, MN 55044
Dakota County (952) 898-9588

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 South Suburban Eyecare Specialists PA's NPI number?

The NPI number for South Suburban Eyecare Specialists PA is 1407059678. It was assigned to this organization in the NPPES registry on June 6, 2007. The provider was formerly known as Lakeville Family Eye Care PA.

Where is South Suburban Eyecare Specialists PA located?

South Suburban Eyecare Specialists PA is located at 17690 Kenwood Trl, Lakeville, MN 55044. The listed phone number is (952) 898-9588.

What is South Suburban Eyecare Specialists PA's specialty?

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

When was this NPI record last updated?

The NPPES record for South Suburban Eyecare Specialists PA was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.