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

Cedar Lakes Eye Specialists PA

Organization Optometrist · NPI 1730472523

Cedar Lakes Eye Specialists PA is an Optometrist in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5801 W 16th St
St Louis Park, MN 55416-1446
Phone: (763) 582-9601
Fax: (763) 582-9613
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3009 (MN)

Record details

NPI number1730472523
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Bane — Owner · (763) 582-9601
Other names Dba: Origins Eye Clinic
NPI enumeratedMay 26, 2011
Last updated in NPPESApril 30, 2018
Mailing addressPo Box 1170, Maple Grove, MN 55311-6170

Other providers in St Louis Park