RIVER VALLEY EYE ASSOCIATES INC. NPI 1508951765

NPI Information

  • NPI: 1508951765
  • Provider Name: RIVER VALLEY EYE ASSOCIATES INC.
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: RIVER VALLEY EYE PROFESSIONALS
  • CLIA Number: 24D2284974
  • Address: 2019 JEFFERSON RD
    SUITE B
    NORTHFIELD, MN
    ZIP 55057
  • Phone: (507) 645-2020

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NPI Details

RIVER VALLEY EYE ASSOCIATES INC. is an eyewear supplier in Northfield, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. RIVER VALLEY EYE ASSOCIATES INC. NPI is 1508951765. The provider is registered as an organization entity type.
The provider Is Doing Business As River Valley Eye Professionals.

The provider's business location address is:

2019 JEFFERSON RD
SUITE B
NORTHFIELD, MN
ZIP 55057-258
Phone: (507) 645-2020
Fax: (507) 645-9203

The provider's authorized official is Patrick O'neill .
The authorized official title is Owner and has the following contact phone number (507) 645-9202.

The CLIA number assigned to this NPI record is 24D2284974 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 1/17/2013.

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

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
1367R8NOOTHERMINNESOTABLUE CROSS BLUE SHIELD
2313638800MEDICAIDMINNESOTA
321-00444OTHERMINNESOTAMEDICA
44986690001MEDICARE NSCMINNESOTA

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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