Ophthalmology Pa in Edina - Eyewear Supplier

Ophthalmology Pa - NPI 1114921996

Ophthalmology Pa is a Eyewear Supplier in Edina, Minnesota. Ophthalmology Pa practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Ophthalmology Pa is 1114921996. The last update date is 2022-10-11.

Ophthalmology Pa's current location address is 3100 W 70th St, Edina, Minnesota. You can contact this provider via phone number 9528488300 and fax number 9528488313. The mailing address for Ophthalmology Pa is 3100 W 70th St, Edina, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ophthalmology Pa
Address 3100 W 70th St, Edina, Minnesota
Phone Number 9528488300
Fax Number 9528488313
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Madison Angie
Telephone Number 9528488312

NPI Number Detail

NPI Number 1114921996
Provider Enumeration Date 2005-06-09
Last Updated Date 2022-10-11

Provider Mailing Address Detail

Address 3100 W 70th St
City Edina
State Minnesota (MN)
Post Code 5543542270
Phone Number 9528488300
Fax Number 9528488313

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 26007
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
585010000 MN --
CP4332 MN RAILROAD MEDICARE
D044 MN UCARE MINNESOTA
130790P MN BLUE SHIELD OF MINNESOTA
156 MN HEALTH PARTNERS

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FAQs about Ophthalmology Pa

What is the Ophthalmology Pa's unique identification number?

The Ophthalmology Pa has been assigned the NPI (National Provider Identifier) Number 1114921996 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Ophthalmology Pa's facilities are situated?

The facilities of Ophthalmology Pa are physically located at the following address: 3100 W 70Th St, Edina, MN, 5543542270.

What is Ophthalmology Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ophthalmology Pa is Eyewear Supplier, and the corresponding taxonomy classification code for this specialized field is 332H00000X.

When did the Ophthalmology Pa receive its 1114921996?

The Ophthalmology Pa was issued its 1114921996 on 2005-06-09, which is the date when the organization was assigned this unique identifier.

When was the Ophthalmology Pa's information last updated?

The Ophthalmology Pa's information was last updated on 2022-10-11.

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