Organization
LAKES OPTOMETRY CLINIC PLLC
Active
Other names
LAKES Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO JANET FEMRITE OPTOMETRIST (PRESIDENT)
(320) 685-5400
Entity
Organization
Contact information
Practice address
308 5TH AVE S, SUITE 110, COLD SPRING, MN 56320-2343
(320) 685-5400
Mailing address
308 5TH AVE S, SUITE 110, COLD SPRING, MN 56320-2343
(320) 685-5400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2773
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490132100
—
MN
Enumeration date
06/29/2006
Last updated
01/08/2015
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