Columbia Park - Eyeware

LBN: Columbia Park Medical Group, Pa
Columbia Park - Eyeware is an health care organization with primary practice located at 4000 Central Ave Ne , Columbia Heights MN 55421-2968. 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 Weir, John Louis via phone (763) 586-5877.

Contact Information

Primary practice address
4000 Central Ave Ne Columbia Heights MN 55421-2968
Fax: (763) 782-8100
Website:
Authorized official contact:
Name: Weir, John Louis

Health care specialties

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

Profile Details

NPI number 1619077575
LBN Legal business name Columbia Park Medical Group, Pa
DBA Doing business as Columbia Park - Eyeware
Authorized official Weir, John Louis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1619077575 NPPES
Minnesota Other 21-00010 EYECRAFT LAB
Minnesota Other 21139 EYECRAFT LAB
Minnesota Other 5C728CO EYECRAFT LAB
Minnesota Other 126907 EYECRAFT LAB

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