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

Dr. Jack Michael Lamoine, OD

Individual provider Optometrist · NPI 1396585923

Dr. Jack Michael Lamoine, OD is an Optometry in Bloomington, Minnesota. Graduated from Pacific University - College of Optometry in 2024, 2 years ago. Practices with Chu Laser Eye Institute, PA, a 6-clinician group and accepts Medicare assignment. Licensed in Colorado, Minnesota and Oregon.

Years since qualifying
2
Trained at
Pacific University - College of Optometry
Licensed in
CO, MN, OR
In the registry since
2024
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

9117 Lyndale Ave S
Bloomington, MN 55420-3522
Phone: (952) 835-1235
Fax: (952) 835-1092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4024 (MN)
Optometrist Taxonomy 152W00000X · Licence 390200000X (OR)
Optometrist Taxonomy 152W00000X · Licence OPT.0004048 (CO)

Record details

NPI number1396585923
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address2919 Chestnut St, Grand Forks, ND 58201-7527

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Chu Laser Eye Institute, Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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