Lakeville Family Eye Care Llc - Medicare Optometrist in Lakeville, MN

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Lakeville Family Eye Care Llc is a medicare enrolled "Optometrist" provider in Lakeville, Minnesota. Their current practice location is 17690 Kenwood Trl, Lakeville, Minnesota. You can reach out to their office (for appointments etc.) via phone at (952) 898-9588.

Lakeville Family Eye Care Llc is licensed to practice in Minnesota (license number 2823) and it also participates in the medicare program. Lakeville Family Eye Care Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1427292143.

Contact Information

Lakeville Family Eye Care Llc
17690 Kenwood Trl,
Lakeville, MN 55044-9764
(952) 898-9588
(952) 898-2030

Map and Direction




Healthcare Provider's Profile

Full NameLakeville Family Eye Care Llc
TypeFacility
SpecialityOptometrist
Location17690 Kenwood Trl, Lakeville, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427292143
  • Provider Enumeration Date: 04/24/2009
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032265871
  • Enrollment ID: O20090921000554

Medical Identifiers

Medical identifiers for Lakeville Family Eye Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427292143NPI-NPPES
499R7LAOtherMNBLUE CROSS BLUE SHIELD MN
2203175OtherMNUNITED HEALTH CARE
2823OtherMNMN LICENSE
A61971031584OtherMNPREFERRED ONE
202779692OtherMNVSP
1518037563OtherMNNPI
2203175OtherMNMEDICA
HP36326OtherMNHEALTHPARTNERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2823 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lakeville Family Eye Care Llc acts as a billing entity for following providers:
Provider NameAndrew J Mattson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1518037563
PECOS PAC ID: 1850333279
Enrollment ID: I20050525001194
Provider NameKevin William Cassin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1053798637
PECOS PAC ID: 3577874056
Enrollment ID: I20150624003006
Provider NameMichelle C Ryba
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265812283
PECOS PAC ID: 9638483621
Enrollment ID: I20150804006023
Provider NameLisa J Holtman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710407622
PECOS PAC ID: 2668744715
Enrollment ID: I20200916002987
Provider NameJonah Mitchell Resnick
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871231084
PECOS PAC ID: 0840673000
Enrollment ID: I20220820000178
Provider NameBrandon J Koupal
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194403774
PECOS PAC ID: 9830550219
Enrollment ID: I20230801003837

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakeville Family Eye Care Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakeville Family Eye Care Llc
17690 Kenwood Trl,
Lakeville, MN 55044-9764

Ph: (952) 898-9588		Lakeville Family Eye Care Llc
17690 Kenwood Trl,
Lakeville, MN 55044-9764

Ph: (952) 898-9588

Reviews and Comments


Optometrist in Lakeville, MN

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Phone: 952-985-6467    Fax: 952-985-6468
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Phone: 952-892-0028    
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Medicare: Accepting Medicare Assignments
Practice Location: 20094 Kenwood Trl, Lakeville, MN 55044
Phone: 952-469-3937    
Joel Sollom, OD
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Medicare: May Accept Medicare Assignments
Practice Location: 16105 Cedar Ave, Lakeville, MN 55044
Phone: 952-985-6467    Fax: 952-985-6468

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.