Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bass Lake Family Eye Care Inc

Organization Optometrist · NPI 1962762039

Bass Lake Family Eye Care Inc is an Optometrist in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12750 Bass Lake Rd
Maple Grove, MN 55369-6307
Phone: (763) 553-1811
Fax: (763) 553-0131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2168 (MN)

Record details

NPI number1962762039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Weeks — Optometrist · (763) 553-1811
NPI enumeratedMay 23, 2012
Last updated in NPPESMay 29, 2013
Mailing address12750 Bass Lake Rd, Maple Grove, MN 55369-6307

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