Columbia Park Medical Group, Pa in Fridley - Eyewear Supplier

Columbia Park Medical Group, Pa - NPI 1205933611

Columbia Park Medical Group, Pa is a Eyewear Supplier in Fridley, Minnesota. Columbia Park Medical Group, Pa practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Columbia Park Medical Group, Pa is 1205933611. The last update date is 2007-11-13.

Columbia Park Medical Group, Pa's current location address is 6341 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635725718 and fax number 7635720318. The mailing address for Columbia Park Medical Group, Pa is 6341 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Columbia Park Medical Group, Pa
Address 6341 University Ave Ne, Fridley, Minnesota
Phone Number 7635725718
Fax Number 7635720318
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF FINA
Authorized Official Name Condon V Joen
Telephone Number 7635865839

NPI Number Detail

NPI Number 1205933611
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-11-13

Provider Mailing Address Detail

Address 6341 University Ave Ne
City Fridley
State Minnesota (MN)
Post Code 554324946
Phone Number 7635725718
Fax Number 7635720318

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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5C734CO MN BCBS EYEWARE
21140 MN MEDICA EYEWARE
21-00011 MN EYECRAFT LAB
126906 MN UCARE EYEWARE

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FAQs about Columbia Park Medical Group, Pa

What is the Columbia Park Medical Group, Pa's unique identification number?

The Columbia Park Medical Group, Pa has been assigned the NPI (National Provider Identifier) Number 1205933611 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Columbia Park Medical Group, Pa?

The Columbia Park Medical Group, Pa is situated at 6341 University Ave Ne, in the city of Fridley, state of MN, with the zip code 554324946.

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

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

On what date did the Columbia Park Medical Group, Pa receive the assignment of its 1205933611 from the Centers for Medicare & Medicaid Services?

The Columbia Park Medical Group, Pa was issued its 1205933611 by the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date was the information pertaining to Columbia Park Medical Group, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Columbia Park Medical Group, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-13.

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