LAKES REGION RETINA PC – NPI #1376412684
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

LAKES REGION RETINA PC is an ophthalmologist located in BAXTER, MN. NPPES has assigned the NPI number 1376412684 to LAKES REGION RETINA PC on November 04, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was last updated on May 21, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKES REGION RETINA PC below.

NPI Profile for
LAKES REGION RETINA PC

NPI Number
1376412684
Enumeration Date

(about 7 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKES REGION RETINA PC
Primary location
13800 BLUESTEM CT
BAXTER, MN 56425
Phone: (218) 580-4218 Fax: (218) 580-4218
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID WILLIAMS
OWNER, CEO, PRESIDENT
Phone: (612) 382-8535
Updated
Certification Date
May 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.