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

Dr. Mark Lobanoff, MD

Individual provider Ophthalmology Physician · NPI 1205870045

Dr. Mark Lobanoff, MD is an Ophthalmology in St Louis Park, Minnesota. Qualified in 1988, 38 years ago. Practices with Ovo Lasik and Lens LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
38
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6099 Wayzata Blvd Ste 100-120
St Louis Park, MN 55416-5538
Phone: (952) 204-5060
Fax: (952) 204-9060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 207W00000X (MN)

Record details

NPI number1205870045
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address6099 Wayzata Blvd Ste 100-120, St Louis Park, MN 55416-5538

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Ovo Lasik And Lens Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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