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NORTH LAND OPTICAL CO NPI 1699916544


NPI Information

NPI: 1699916544
Provider Name: NORTH LAND OPTICAL CO
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
600 E SUPERIOR ST
STE # 111
DULUTH, MN
ZIP 55802
Phone: (218) 722-4212
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NORTH LAND OPTICAL CO is an eyewear supplier in Duluth, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. NORTH LAND OPTICAL CO NPI is 1699916544. The provider is registered as an organization entity type.

The provider's business location address is:

600 E SUPERIOR ST
STE # 111
DULUTH, MN
ZIP 55802-222
Phone: (218) 722-4212
Fax: (218) 722-4212

The provider's authorized official is Ron C Horn .
The authorized official title is Owner and has the following contact phone number (218) 722-4212.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 6/20/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier=========MINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11891784062MEDICAIDMINNESOTA
261773OTHERMINNESOTAHEALTHPARTNERS
31891784062OTHERMINNESOTAFIRST PLAN BLUE
41891784062OTHERMINNESOTABLUE CROSS BLUE SHEILD OF MINNESOTA
522-00240OTHERMINNESOTAMEDICA
621-00559OTHERMINNESOTAMEDICA
71891784062OTHERMINNESOTABLUE PLUS OF MINNESOTA
8110498OTHERMINNESOTAUCARE MINNESOTA
9111276OTHERMINNESOTAUCARE MINNESOTA

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: 11/14/2023

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