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Organization

LONG LAKE EYE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW LEPAGE OD (OPTOMETRIST / OWNER)
(612) 366-9808
Entity
Organization

Contact information

Practice address
1916 W WAYZATA BLVD STE 2, LONG LAKE, MN 55356-9559
(612) 366-9808
Mailing address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
(612) 366-9808

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
11/17/2025
Last updated
03/01/2026
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