Distinctive Eyewear, Llc in St. Anthony - Eyewear Supplier
Distinctive Eyewear, Llc - NPI 1548342124
Distinctive Eyewear, Llc is a Eyewear Supplier in St. Anthony, Minnesota. Distinctive Eyewear, Llc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Distinctive Eyewear, Llc is 1548342124. The last update date is 2020-03-18.
Distinctive Eyewear, Llc's current location address is 2601 39th Ave Ne, St. Anthony, Minnesota. You can contact this provider via phone number 7634167674 and fax number 7634167634. The mailing address for Distinctive Eyewear, Llc is 2601 39th Ave Ne, St. Anthony, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Distinctive Eyewear, Llc |
|---|---|
| Address | 2601 39th Ave Ne, St. Anthony, Minnesota |
| Phone Number | 7634167674 |
| Fax Number | 7634167634 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Pettengill Kelly |
| Telephone Number | 7634167629 |
NPI Number Detail
| NPI Number | 1548342124 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2020-03-18 |
Provider Mailing Address Detail
| Address | 2601 39th Ave Ne |
|---|---|
| City | St. Anthony |
| State | Minnesota (MN) |
| Post Code | 55421 |
| Phone Number | 7634167674 |
| Fax Number | 7634167634 |
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. |
|
Post Comment/ Review Below
What is the Distinctive Eyewear, Llc's 1548342124?
The Distinctive Eyewear, Llc's NPI (National Provider Identifier) Number is 1548342124. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Distinctive Eyewear, Llc is located?
The Distinctive Eyewear, Llc is situated at the following address: 2601 39Th Ave Ne, St. Anthony, MN, 55421.
What is Distinctive Eyewear, Llc's area of expertise and its corresponding taxonomy classification?
The Distinctive Eyewear, Llc's field of specialization is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Distinctive Eyewear, Llc receive its 1548342124 assignment from the Centers for Medicare & Medicaid Services?
The Distinctive Eyewear, Llc was assigned its 1548342124 by the Centers for Medicare & Medicaid Services on 2006-10-20.
As of what date was the information regarding Distinctive Eyewear, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Distinctive Eyewear, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-03-18.
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