OrganizationActive
Lakes Region Retina PC
NPI 1376412684 · Retina Specialist (Ophthalmology) Physician · Baxter, MN
Provider details
- NPI number
- 1376412684
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- David Williams, Owner, Ceo, President
Practice location
13800 Bluestem Ct
Baxter, MN 56425
Phone: (218) 580-4218
Fax: (218) 580-4218
Mailing address
13800 Bluestem Ct
Baxter, MN 56425-6005
Registry dates
- Enumerated
- 2025-11-04
- Last updated
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.