Crossroads Optometric Clinic, Inc.
NPI 1164448627 · Optometrist · Prior Lake, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crossroads Optometric Clinic, Inc. is a Optometrist organization in Prior Lake, MN (NPI 1164448627).
Provider details
- NPI number
- 1164448627
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Lisa Dawson-Clausen, Owner/Optometrist(952) 447-2020
- License
- 0001425 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lakeside Family Eye Care
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2020-12-08
- Certified
- 2020-12-08
Frequently asked questions
- What is Crossroads Optometric Clinic, Inc.'s NPI number?
- Crossroads Optometric Clinic, Inc.'s National Provider Identifier (NPI) is 1164448627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crossroads Optometric Clinic, Inc.?
- Crossroads Optometric Clinic, Inc. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Crossroads Optometric Clinic, Inc. located?
- Crossroads Optometric Clinic, Inc.'s practice location on file with NPPES is 16250 Duluth Ave Se Ste 100, Prior Lake, MN 55372-2883.
- What is Crossroads Optometric Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Crossroads Optometric Clinic, Inc. is (952) 447-2020.
- Does Crossroads Optometric Clinic, Inc. accept Medicare?
- Crossroads Optometric Clinic, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crossroads Optometric Clinic, Inc.?
- The authorized official listed on Crossroads Optometric Clinic, Inc.'s NPPES record is Lisa Dawson-Clausen, Owner/Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crossroads Optometric Clinic, Inc.'s NPI active?
- Yes — Crossroads Optometric Clinic, Inc.'s NPI (1164448627) is active in the NPPES registry as of the last update on 2020-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.