Optometrist
CEDAR LAKES EYE SPECIALISTS PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1730472523 · enumerated 2011-05-26 · record updated 2018-04-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. DAVID BANE OD, Owner · (763) 582-9601
Other names: DBA: ORIGINS EYE CLINIC
Addresses and phones
- Practice location 5801 W 16TH ST, ST LOUIS PARK, MN, 55416-1446 (763) 582-9601 Fax (763) 582-9613 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 1170, MAPLE GROVE, MN, 55311-6170 (763) 582-9601 Fax (763) 582-9613 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License 3009 MN
In this directory
Locations and evidence
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Practice location
ST LOUIS PARK, MN, 554161446
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.