DISTINCTIVE EYEWEAR LLC NPI 1457690133

NPI Information

  • NPI: 1457690133
  • Provider Name: DISTINCTIVE EYEWEAR, LLC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: NORTHWEST EYEWEAR
  • Address: 8501 GOLDEN VALLEY RD STE 100
    GOLDEN VALLEY, MN
    ZIP 55427
  • Phone: (763) 416-7655

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NPI Details

DISTINCTIVE EYEWEAR, LLC is an optician technician technologist in Golden Valley, MN. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. DISTINCTIVE EYEWEAR, LLC NPI is 1457690133. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Eyewear.

The provider's business location address is:

8501 GOLDEN VALLEY RD STE 100
GOLDEN VALLEY, MN
ZIP 55427-472
Phone: (763) 416-7655
Fax: (763) 416-7634

The provider's authorized official is Kelly Pettengill .
The authorized official title is Credentialing And Data Management and has the following contact phone number (763) 416-7629.

The enumeration date for this NPI number is 1/31/2013 and was last updated on 3/18/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierNo
2156FC0800XTechnician/TechnologistContact LensMINNESOTANo
3156FX1800XTechnician/TechnologistOpticianMINNESOTAYes

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: 3/30/2025

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