OrganizationActive
South Suburban Eyecare Specialists PA
NPI 1407059678 · Optometrist · Lakeville, MN
South Suburban Eyecare Specialists PA is a Optometrist organization in Lakeville, MN (NPI 1407059678).
Provider details
- NPI number
- 1407059678
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Andrew Mattson, President(952) 898-9588
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
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
17690 Kenwood Trl
Lakeville, MN 55044-9764
Phone: (952) 898-9588
Fax: (952) 898-2030
Street-level locationGet directions
Mailing address
17690 Kenwood Trl
Lakeville, MN 55044-9764
Other names (DBA / former)
- Former legal business name
- Lakeville Family Eye Care PA
Registry dates
- Enumerated
- 2007-06-06
- Last updated
- 2011-06-02
Frequently asked questions
- What is South Suburban Eyecare Specialists PA's NPI number?
- South Suburban Eyecare Specialists PA's National Provider Identifier (NPI) is 1407059678, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Suburban Eyecare Specialists PA?
- South Suburban Eyecare Specialists PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is South Suburban Eyecare Specialists PA located?
- South Suburban Eyecare Specialists PA's practice location on file with NPPES is 17690 Kenwood Trl, Lakeville, MN 55044-9764.
- What is South Suburban Eyecare Specialists PA's phone number?
- The practice phone number listed in the NPPES registry for South Suburban Eyecare Specialists PA is (952) 898-9588.
- Who is the authorized official for South Suburban Eyecare Specialists PA?
- The authorized official listed on South Suburban Eyecare Specialists PA's NPPES record is Andrew Mattson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Suburban Eyecare Specialists PA's NPI active?
- Yes — South Suburban Eyecare Specialists PA's NPI (1407059678) is active in the NPPES registry as of the last update on 2011-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.