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

South Suburban Eyecare Specialists PA

Organization Optometrist · NPI 1407059678

South Suburban Eyecare Specialists PA is an Optometrist in Lakeville, Minnesota. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17690 Kenwood Trl
Lakeville, MN 55044-9764
Phone: (952) 898-9588
Fax: (952) 898-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1407059678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Mattson — President · (952) 898-9588
Other names Lakeville Family Eye Care Pa
NPI enumeratedJune 6, 2007
Last updated in NPPESJune 2, 2011
Mailing address17690 Kenwood Trl, Lakeville, MN 55044-9764

Other providers in Lakeville