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PARK NICOLLET HEALTH CARE PRODUCTS NPI 1235695594


NPI Information

NPI: 1235695594
Provider Name: PARK NICOLLET HEALTH CARE PRODUCTS
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 24D0402648

Address:
8401 GOLDEN VALLEY RD
GOLDEN VALLEY, MN
ZIP 55427
Phone: (952) 993-8313
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PARK NICOLLET HEALTH CARE PRODUCTS is an eyewear supplier in Golden Valley, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PARK NICOLLET HEALTH CARE PRODUCTS NPI is 1235695594. The provider is registered as an organization entity type.

The provider's business location address is:

8401 GOLDEN VALLEY RD
GOLDEN VALLEY, MN
ZIP 55427-486
Phone: (952) 993-8313
Fax: (952) 993-0562

The provider's authorized official is Kristin Denise Brey .
The authorized official title is Superviser and has the following contact phone number (952) 993-6832.

The CLIA number assigned to this NPI record is 24D0402648 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/12/2019 and was last updated on 2/12/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

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: 5/5/2024

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