NICOLLET VISION CARE OPTOMETRISTS P.A. NPI 1760636286

NPI Information

NPI: 1760636286
Provider Name: NICOLLET VISION CARE OPTOMETRISTS P.A.

Doing Business As: THE GLASSES MENAGERIE

Classification: Optometrist - 152WP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
3142 HENNEPIN AVE S
MINNEAPOLIS, MN
ZIP 55408
Phone: (612) 822-7021
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NICOLLET VISION CARE OPTOMETRISTS P.A. is a pediatrics optometrist in Minneapolis, MN. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. NICOLLET VISION CARE OPTOMETRISTS P.A. NPI is 1760636286. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Glasses Menagerie.

The provider's business location address is:

3142 HENNEPIN AVE S
MINNEAPOLIS, MN
ZIP 55408-619
Phone: (612) 822-7021
Fax: (612) 822-6123

The provider's authorized official is Linda Marie Chous .
The authorized official title is Owner and has the following contact phone number (612) 822-7021.

The enumeration date for this NPI number is 11/11/2008 and was last updated on 11/11/2008.

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
1	152WP0200X	Optometrist	Pediatrics	2219	MINNESOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102328	OTHER	MINNESOTA	U CARE
2	22-19849	OTHER		MEDICA
3	610225500	MEDICAID	MINNESOTA
4	T93147	MEDICARE UPIN
5	45845	OTHER		MHP
6	64637CH	OTHER		BLUE CROSS
7	4C348GL	OTHER		BLUE PLUS
8	410001008	MEDICARE PIN

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

NPI Synchronization or Removal

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