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

Lakes Region Retina PC

Organization Retina Specialist (Ophthalmology) Physician · NPI 1376412684

Lakes Region Retina PC is a Retina Specialist (Ophthalmology) Physician in Baxter, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13800 Bluestem Ct
Baxter, MN 56425
Phone: (218) 580-4218
Fax: (218) 580-4218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X

Record details

NPI number1376412684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Williams — Owner, Ceo, President · (612) 382-8535
NPI enumeratedNovember 4, 2025
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address13800 Bluestem Ct, Baxter, MN 56425-6005

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