Andover Optical Inc in Andover - Contact Lens Fitter
Andover Optical Inc - NPI 1972663383
Andover Optical Inc is a Contact Lens Fitter in Andover, Minnesota. Andover Optical Inc practices all healthcare services and medical treatments related to Contact Lens Fitter. The NPI Number for Andover Optical Inc is 1972663383. The last update date is 2008-02-06.
Andover Optical Inc's current location address is 13855 Round Lake Blvd Nw, Andover, Minnesota. You can contact this provider via phone number 7634210141 and fax number 7634210334. The mailing address for Andover Optical Inc is 13855 Round Lake Blvd Nw, Andover, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Andover Optical Inc |
|---|---|
| Address | 13855 Round Lake Blvd Nw, Andover, Minnesota |
| Phone Number | 7634210141 |
| Fax Number | 7634210334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRES |
|---|---|
| Authorized Official Name | Sangren Laine |
| Telephone Number | 7634210141 |
NPI Number Detail
| NPI Number | 1972663383 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | 13855 Round Lake Blvd Nw |
|---|---|
| City | Andover |
| State | Minnesota (MN) |
| Post Code | 553043664 |
| Phone Number | 7634210141 |
| Fax Number | 7634210334 |
Provider's Primary Taxonomy Detail
| Speciality | Contact Lens Fitter |
|---|---|
| Taxonomy | 156Fc0801X |
|
Definition: An 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16125 | MN | HEALTH PARTNERS | |
| 114915 | MN | UCARE | |
| 747001 | MN | PREFERREDONE | |
| 2115818 | MN | MEDICA | |
| 10294AN | MN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Andover Optical Inc by the Centers for Medicare & Medicaid Services?
The Andover Optical Inc has been issued the NPI (National Provider Identifier) 1972663383, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Andover Optical Inc?
The Andover Optical Inc is physically situated at 13855 Round Lake Blvd Nw, in the city of Andover, state of MN, with the postal code 553043664.
What is Andover Optical Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andover Optical Inc is Contact Lens Fitter, and the taxonomy code that classifies this field of practice is 156Fc0801X.
On what date did the Andover Optical Inc receive the assignment of its 1972663383 from the Centers for Medicare & Medicaid Services?
The Andover Optical Inc was issued its 1972663383 by the Centers for Medicare & Medicaid Services on 2006-12-08.
As of what date was the information regarding Andover Optical Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Andover Optical Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-06.