MINNESOTA EYE CONSULTANTS PA NPI 1174596399

NPI Information

  • NPI: 1174596399
  • Provider Name: MINNESOTA EYE CONSULTANTS, PA
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 24D0893659
  • Address: 710 E 24TH ST
    SUITE 103
    MINNEAPOLIS, MN
    ZIP 55404
  • Phone: (952) 567-6092

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NPI Details

MINNESOTA EYE CONSULTANTS, PA is an eyewear supplier in Minneapolis, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MINNESOTA EYE CONSULTANTS, PA NPI is 1174596399. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

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 9/11/2025.

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
1207W00000XOphthalmologyNo
2152WC0802XOptometristCorneal and Contact ManagementNo
3332H00000XEyewear SupplierYes

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
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: 11/21/2025

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