ANDOVER OPTICAL INC NPI 1972663383

NPI Information

NPI: 1972663383
Provider Name: ANDOVER OPTICAL INC
Classification: Technician/Technologist - 156FC0801X
Specialization: Contact Lens Fitter
Entity Type: Organization
Address: 13855 ROUND LAKE BLVD NW
ANDOVER, MN
ZIP 55304
Phone: (763) 421-0141

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NPI Details

ANDOVER OPTICAL INC is a contact lens fitter technician technologist in Andover, MN. The provider is a fitter contact lens optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. ANDOVER OPTICAL INC NPI is 1972663383. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13855 ROUND LAKE BLVD NW
ANDOVER, MN
ZIP 55304-664
Phone: (763) 421-0141
Fax: (763) 421-0334

The provider's authorized official is Laine Sangren .
The authorized official title is Vice Pres and has the following contact phone number (763) 421-0141.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 2/6/2008.

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	Primary
1	156FC0800X	Technician/Technologist	Contact Lens	No
2	156FX1800X	Technician/Technologist	Optician	No
3	156FC0801X	Technician/Technologist	Contact Lens Fitter	Yes

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
1	114915	OTHER	MINNESOTA	UCARE
2	16125	OTHER	MINNESOTA	HEALTH PARTNERS
3	2115818	OTHER	MINNESOTA	MEDICA
4	10294AN	OTHER	MINNESOTA	BCBS
5	747001	OTHER	MINNESOTA	PREFERREDONE
6	06954600	MEDICARE ID-TYPE UNSPECIFIED	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: 11/21/2025

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