OVO LASIK AND LENS LLC
NPI 1770259087
Ophthalmology in St Louis Park, MN

Active since August 17, 2021CLIA 24D2257743 · Waiver
6099 WAYZATA BLVD, ST LOUIS PARK, MN 55416(877) 686-3937 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2023, Aug 17, 2021 (2 updates tracked since 2021).

About Ovo Lasik And Lens Llc NPPES

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

OVO LASIK AND LENS LLC (NPI 1770259087) is a healthcare organization registered as an ophthalmology in St Louis Park, Minnesota and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Mark C Lobanoff, Owner, as its authorized official.

NPPES Registry Identity

NPI1770259087
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameOVO LASIK AND LENS LLC
Location Address6099 WAYZATA BLVDSt Louis Park, MN 55416
Mailing Address6099 Wayzata Blvd Ste 100-120St Louis Park, MN 55416-5538 · (952) 204-5060
Organization SubpartNo
Authorized OfficialMark C LobanoffOwner · (763) 772-7173
Enumeration DateAugust 17, 2021
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1770259087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
6099 WAYZATA BLVD, St Louis Park, MN 55416

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ovo Lasik And Lens Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20211116001548Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Ovo Lasik And Lens LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Ophthalmology
NPI 1205870045
6099 WAYZATA BLVD STE 100-120
St Louis Park, MN 55416
(952) 204-5060
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1568422301
6099 WAYZATA BLVD STE 120
Minneapolis, MN 55416
(952) 204-5060
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1760968895
6099 WAYZATA BLVD STE 100-120
St Louis Park, MN 55416
(952) 204-5060
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1003836479
6099 WAYZATA BLVD STE 100-120
St Louis Park, MN 55416
(952) 204-5060
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1134748924
6099 WAYZATA BLVD STE 120
St Louis Park, MN 55416
(952) 204-5060
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1780710459
6099 WAYZATA BLVD
St Louis Park, MN 55416
(952) 204-5060
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1710953161
7450 FRANCE AVE S SUITE 100
Edina, MN 55435
(952) 832-8100
✔ PECOS✔ Accepts Medicare7.2 mi
Optometry
NPI 1831508811
9555 UPLAND LN N
Maple Grove, MN 55369
(952) 993-1440
✔ PECOS✔ Accepts Medicare12 mi

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

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 24D2257743

Ovo Lasik + Lens · Saint Louis Park, MN
Active · expires Apr 10, 2028
CLIA Number24D2257743
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorAshley A. Prepeluh
Laboratory Phone(952) 204-5060
Laboratory LocationOvo Lasik + Lens6099 Wayzata Blvd #100 #120, Saint Louis Park, MN 55416
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ovo Lasik And Lens LLC's NPI number?

The NPI number for Ovo Lasik And Lens LLC is 1770259087. It was assigned to this organization in the NPPES registry on August 17, 2021.

Where is Ovo Lasik And Lens LLC located?

Ovo Lasik And Lens LLC is located at 6099 Wayzata Blvd, St Louis Park, MN 55416. The listed phone number is (877) 686-3937.

What is Ovo Lasik And Lens LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ovo Lasik And Lens LLC enrolled in Medicare?

Yes. Ovo Lasik And Lens LLC is registered in the Medicare PECOS enrollment system.

When is Ovo Lasik And Lens LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ovo Lasik And Lens LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Ovo Lasik And Lens 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. The largest specialties are Optometry (5) and Ophthalmology (3). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ovo Lasik And Lens LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2257743) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ovo Lasik And Lens LLC was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.