Dinkytown Optical in Minneapolis - Eyewear Supplier
Dinkytown Optical - NPI 1003961327
Dinkytown Optical is a Eyewear Supplier in Minneapolis, Minnesota. Dinkytown Optical practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Dinkytown Optical is 1003961327. The last update date is 2020-08-22.
Dinkytown Optical's current location address is 1304 4th St Se, Minneapolis, Minnesota. You can contact this provider via phone number 6123317100 and fax number 6123317100. The mailing address for Dinkytown Optical is 1304 4th St Se, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dinkytown Optical |
|---|---|
| Address | 1304 4th St Se, Minneapolis, Minnesota |
| Phone Number | 6123317100 |
| Fax Number | 6123317100 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Zidel Larry |
| Telephone Number | 6123317100 |
NPI Number Detail
| NPI Number | 1003961327 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1304 4th St Se |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554142029 |
| Phone Number | 6123317100 |
| Fax Number | 6123317100 |
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 |
|---|---|---|---|
| 13307PA | MN | BCBS OF MN | |
| 1001127 | MN | PREFERRED ONE |
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What is the unique 10-digit identification code assigned to Dinkytown Optical by the Centers for Medicare & Medicaid Services?
The Dinkytown Optical has been issued the NPI (National Provider Identifier) 1003961327, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dinkytown Optical located?
The Dinkytown Optical is located at 1304 4Th St Se, Minneapolis, MN 554142029.
What is Dinkytown Optical's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dinkytown Optical is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.
When did Dinkytown Optical receive its 1003961327 assignment?
The Dinkytown Optical was assigned its 1003961327 on 2007-01-25, which is the date when this unique identifier was issued to the organization.
When was the information regarding Dinkytown Optical most recently updated?
The details pertaining to the Dinkytown Optical, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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