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MINNESOTA EYE CONSULTANTS PA NPI 1174596399


NPI Information

NPI: 1174596399
Provider Name: MINNESOTA EYE CONSULTANTS, PA

Doing Business As: PARK OPTICAL

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 24D0893659

Address:
710 E 24TH ST
SUITE 103
MINNEAPOLIS, MN
ZIP 55404
Phone: (952) 567-6092
Get Directions

MINNESOTA EYE CONSULTANTS, PA is an ophthalmology in Minneapolis, MN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MINNESOTA EYE CONSULTANTS, PA NPI is 1174596399. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Park Optical.

The provider's business location address is:

710 E 24TH ST
SUITE 103
MINNEAPOLIS, MN
ZIP 55404-840
Phone: (952) 567-6092
Fax: (952) 567-6176

The provider's authorized official is Candace Simerson .
The authorized official title is President and has the following contact phone number (952) 567-6100.

The CLIA number assigned to this NPI record is 24D0893659 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes
2152WC0802XOptometristCorneal and Contact ManagementX
3332H00000XEyewear SupplierX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11250440012OTHERMINNESOTADMERC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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