North Suburban Optical in Coon Rapids - Eyewear Supplier
North Suburban Optical - NPI 1306042817
North Suburban Optical is a Eyewear Supplier in Coon Rapids, Minnesota. North Suburban Optical practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for North Suburban Optical is 1306042817. The last update date is 2018-12-03.
North Suburban Optical's current location address is 3777 Coon Rapids Blvd Nw # 100, Coon Rapids, Minnesota. You can contact this provider via phone number 7634218524 and fax number 7634210730. The mailing address for North Suburban Optical is 3777 Coon Rapids Blvd Nw # 100, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Suburban Optical |
|---|---|
| Address | 3777 Coon Rapids Blvd Nw # 100, Coon Rapids, Minnesota |
| Phone Number | 7634218524 |
| Fax Number | 7634210730 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD/OWNER |
|---|---|
| Authorized Official Name | Lobanoff C Mark |
| Credentials | MD |
| Telephone Number | 7634217420 |
NPI Number Detail
| NPI Number | 1306042817 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2018-12-03 |
Provider Mailing Address Detail
| Address | 3777 Coon Rapids Blvd Nw # 100 |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554332630 |
| Phone Number | 7634218524 |
| Fax Number | 7634210730 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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Post Comment/ Review Below
What is the North Suburban Optical's 1306042817?
The North Suburban Optical's NPI (National Provider Identifier) Number is 1306042817. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where North Suburban Optical is physically located?
The North Suburban Optical is physically situated at the following address: 3777 Coon Rapids Blvd Nw # 100, Coon Rapids, MN, 554332630.
What is North Suburban Optical's specialized field of practice, and what is the corresponding taxonomy classification code?
The North Suburban Optical's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306042817 to North Suburban Optical?
The Centers for Medicare & Medicaid Services assigned the 1306042817 to North Suburban Optical on 2007-06-22.
As of what date were the details pertaining to North Suburban Optical last refreshed?
The information related to the North Suburban Optical, including its address, specialty, and other relevant details, was last updated on 2018-12-03.
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