River Lake Clinic LLC in Minneapolis, MN
This organization bills under NPI 1902932965, an organization record issued on Feb 26, 2007 with the primary taxonomy Optometrist. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1902932965
- Legal name
- River Lake Clinic LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Optometrist 152W00000X
- Practice location
- 4323 E LAKE ST, Minneapolis, MN 55406
- Phone
- 612-722-1003
- Enumerated
- Feb 26, 2007
- Record updated
- Jan 30, 2014
- Authorized official
- Member (title as filed)
3 clinicians CMS lists with River Lake Clinic in Minneapolis
- Joshua Hanen, JD, OD, FAAOOptometrist1407293061
- Michel Hanen Smith, OD, MSOptometrist1326119223
- Sandra Smith Hanen, EDDPsychologist1750480679
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Minnesota secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 103T00000X Psychologist
- 103TA0700X Adult Development & Aging Psychologist
- 103TB0200X Cognitive & Behavioral Psychologist
- 103TC1900X Counseling Psychologist
- 103TF0000X Family Psychologist
- 103TF0200X Forensic Psychologist
- 152W00000X Optometrist
- 152W00000X Optometrist
- 152WC0802X Corneal and Contact Management Optometrist
- 152WL0500X Low Vision Rehabilitation Optometrist
- 152WP0200X Pediatric Optometrist
- 152WS0006X Sports Vision Optometrist
- 152WV0400X Vision Therapy Optometrist
- 152WX0102X Occupational Vision Optometrist
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.