Organization
LAKEWOOD EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYNN REDNING (CREDENTIALING SPECIALIST)
(218) 894-8513
Entity
Organization
Contact information
Practice address
1210 US HIGHWAY 10, SUITE 2, STAPLES, MN 56479-5280
(218) 894-1515
(218) 898-7518
Mailing address
1210 US HIGHWAY 10, SUITE 2, STAPLES, MN 56479-5280
(218) 894-1515
(218) 898-7518
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
03/03/2026
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