Fifth Avenue Optical

LBN: Fifth Avenue Of Edina Inc.
Fifth Avenue Optical is an health care organization with primary practice located at 3540 Galleria , Edina MN 55435-4218. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Fifth Avenue Of Edina Inc. can be contacted via phone (952) 922-1052, or through Stead, Gale L via phone (952) 922-1052.

Contact Information

Primary practice address
3540 Galleria Edina MN 55435-4218
Fax: (952) 922-2518
Website:
Authorized official contact:
Name: Stead, Gale L Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1456 Minnesota
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 1456 Minnesota

Profile Details

NPI number 1821243239
LBN Legal business name Fifth Avenue Of Edina Inc.
DBA Doing business as Fifth Avenue Optical
Authorized official Stead, Gale L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2008
Last updated Jun 13th, 2012 - about 13 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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