DJ-MN INC NPI 1578615019

NPI Information

  • NPI: 1578615019
  • Provider Name: DJ-MN INC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: SELECT EYECARE
  • Address: 11415 FOLEY BLVD NW
    COON RAPIDS, MN
    ZIP 55448
  • Phone: (763) 755-3683

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NPI Details

DJ-MN INC is an optician technician technologist in Coon Rapids, 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. DJ-MN INC NPI is 1578615019. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Select Eyecare.

The provider's business location address is:

11415 FOLEY BLVD NW
COON RAPIDS, MN
ZIP 55448-451
Phone: (763) 755-3683

The provider's authorized official is Jane Thelen .
The authorized official title is Owner and has the following contact phone number (763) 427-4000.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 12/30/2020.

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
1156FX1800XTechnician/TechnologistOpticianYes

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
1037615000MEDICAIDMINNESOTA

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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