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 |
Post Comment/ Review Below
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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