Andover - Eyewear

LBN: Columbia Park Medical Group, Pa
Andover - Eyewear is an health care organization with primary practice located at 13819 Hanson Blvd Nw , Andover MN 55304-7608. 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) 572-5710, or through Condon, Joen V via phone (763) 586-5839.

Contact Information

Primary practice address
13819 Hanson Blvd Nw Andover MN 55304-7608
Phone: (763) 572-5710
Fax: (763) 862-4415
Website:
Map and Directions
Authorized official contact:
Name: Condon, Joen V
Phone: (763) 586-5839

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X Minnesota

Profile Details

NPI number 1326147505
LBN Legal business name Columbia Park Medical Group, Pa
DBA Doing business as Andover - Eyewear
Authorized official Condon, Joen V
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326147505 NPPES
Minnesota Other 21181 MEDICA EYEWARE
Minnesota Other 52Q42CO MEDICA EYEWARE
Minnesota Other 126908 MEDICA EYEWARE
Minnesota Other 21-00115 MEDICA EYEWARE

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