Columbia Park Medical Group, Pa in Fridley - Eyewear Supplier
Columbia Park Medical Group, Pa - NPI 1619077575
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 1619077575. The last update date is 2020-08-22.
Columbia Park Medical Group, Pa's current location address is 6401 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635725710 and fax number 7635713008. The mailing address for Columbia Park Medical Group, Pa is 6401 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Columbia Park Medical Group, Pa |
|---|---|
| Address | 6401 University Ave Ne, Fridley, Minnesota |
| Phone Number | 7635725710 |
| Fax Number | 7635713008 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Weir Louis John |
| Telephone Number | 7635865877 |
NPI Number Detail
| NPI Number | 1619077575 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6401 University Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554324341 |
| Phone Number | 7635725710 |
| Fax Number | 7635713008 |
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 |
|---|---|---|---|
| 21-00010 | MN | EYECRAFT LAB | |
| 21139 | MN | MEDICA EYEWARE | |
| 5C728CO | MN | BCBS EYEWARE | |
| 126907 | MN | UCARE EYEWARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Columbia Park Medical Group, Pa by the Centers for Medicare & Medicaid Services?
The Columbia Park Medical Group, Pa has been assigned the NPI (National Provider Identifier) 1619077575 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Columbia Park Medical Group, Pa's facilities are situated?
The facilities of Columbia Park Medical Group, Pa are physically located at the following address: 6401 University Ave Ne, Fridley, MN, 554324341.
What is the Columbia Park Medical Group, Pa's area of specialization and corresponding taxonomy classification?
The Columbia Park Medical Group, Pa's specialty field is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their specialties.
When did the Columbia Park Medical Group, Pa receive its 1619077575?
The Columbia Park Medical Group, Pa was issued its 1619077575 on 2006-09-22, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Columbia Park Medical Group, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Columbia Park Medical Group, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL