Blue Lakes Eye Care, PLLC
NPI 1457186850 · Optometrist · Eagan, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Lakes Eye Care, PLLC is a Optometrist organization in Eagan, MN (NPI 1457186850).
Provider details
- NPI number
- 1457186850
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Doreen Boelter, Accts(651) 503-5463
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
1 yr 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
- Blue Lakes Eye Care PLLC
- Doing business as
- Blue Lakes Eye Care PLLC
- Former legal business name
- Blue Lakes Eye Care, PLLC
Registry dates
- Enumerated
- 2024-09-04
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Frequently asked questions
- What is Blue Lakes Eye Care, PLLC's NPI number?
- Blue Lakes Eye Care, PLLC's National Provider Identifier (NPI) is 1457186850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Lakes Eye Care, PLLC?
- Blue Lakes Eye Care, PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Blue Lakes Eye Care, PLLC located?
- Blue Lakes Eye Care, PLLC's practice location on file with NPPES is 855 Vikings Pkwy Ste B, Eagan, MN 55121-1139.
- What is Blue Lakes Eye Care, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Lakes Eye Care, PLLC is (651) 280-4420.
- Does Blue Lakes Eye Care, PLLC accept Medicare?
- Blue Lakes Eye Care, PLLC 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 Blue Lakes Eye Care, PLLC?
- The authorized official listed on Blue Lakes Eye Care, PLLC's NPPES record is Doreen Boelter, Accts. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Lakes Eye Care, PLLC's NPI active?
- Yes — Blue Lakes Eye Care, PLLC's NPI (1457186850) is active in the NPPES registry as of the last update on 2026-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.