OrganizationActive
Cedar Lakes Eye Specialists PA
NPI 1730472523 · Optometrist · St Louis Park, MN
Cedar Lakes Eye Specialists PA is a Optometrist organization in St Louis Park, MN (NPI 1730472523).
Provider details
- NPI number
- 1730472523
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- David Bane, Owner(763) 582-9601
- License
- 3009 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
5801 W 16th St
St Louis Park, MN 55416-1446
Phone: (763) 582-9601
Fax: (763) 582-9613
Street-level locationGet directions
Mailing address
Po Box 1170
Maple Grove, MN 55311-6170
Other names (DBA / former)
- Doing business as
- Dba: Origins Eye Clinic
Registry dates
- Enumerated
- 2011-05-26
- Last updated
- 2018-04-30
Frequently asked questions
- What is Cedar Lakes Eye Specialists PA's NPI number?
- Cedar Lakes Eye Specialists PA's National Provider Identifier (NPI) is 1730472523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Lakes Eye Specialists PA?
- Cedar Lakes Eye Specialists PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Cedar Lakes Eye Specialists PA located?
- Cedar Lakes Eye Specialists PA's practice location on file with NPPES is 5801 W 16th St, St Louis Park, MN 55416-1446.
- What is Cedar Lakes Eye Specialists PA's phone number?
- The practice phone number listed in the NPPES registry for Cedar Lakes Eye Specialists PA is (763) 582-9601.
- Who is the authorized official for Cedar Lakes Eye Specialists PA?
- The authorized official listed on Cedar Lakes Eye Specialists PA's NPPES record is David Bane, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Lakes Eye Specialists PA's NPI active?
- Yes — Cedar Lakes Eye Specialists PA's NPI (1730472523) is active in the NPPES registry as of the last update on 2018-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.