Fridley Plaza - Eyeware
LBN: Columbia Park Medical Group, Pa
Fridley Plaza - Eyeware is an health care organization with primary practice located at 6341 University Ave Ne , Fridley MN 55432-4946. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty.
Columbia Park Medical Group, Pa can be contacted via phone (763) 572-5718, or through Condon, Joen V via phone (763) 586-5839.
Contact Information
Primary practice address
6341 University Ave Ne
Fridley MN 55432-4946
Phone: (763) 572-5718
Fax: (763) 572-0318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | Minnesota |
Profile Details
| NPI number | 1205933611 |
|---|---|
| LBN Legal business name | Columbia Park Medical Group, Pa |
| DBA Doing business as | Fridley Plaza - Eyeware |
| Authorized official | Condon, Joen V |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 13th, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205933611 | NPPES |
| Minnesota | Other | 5C734CO | BCBS EYEWARE |
| Minnesota | Other | 21140 | BCBS EYEWARE |
| Minnesota | Other | 21-00011 | BCBS EYEWARE |
| Minnesota | Other | 126906 | BCBS EYEWARE |
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