Huxley Optical Llc

LBN: Huxley Optical Llc
Huxley Optical Llc is an health care organization with primary practice located at 1595 Highway 36 W Ste 120 , Roseville MN 55113-1092. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Huxley Optical Llc can be contacted via phone (651) 621-3684, or through Polehonka, Ryan via phone (651) 403-0553.

Contact Information

Primary practice address
1595 Highway 36 W Ste 120 Roseville MN 55113-1092
Phone: (651) 621-3684
Fax: (651) 389-0333
Website:
Map and Directions
Authorized official contact:
Name: Polehonka, Ryan
Phone: (651) 403-0553

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1447919188
LBN Legal business name Huxley Optical Llc
DBA Doing business as
Authorized official Polehonka, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2021
Last updated Dec 9th, 2021 - about 3 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 1447919188 NPPES
Minnesota MEDICAID 250156

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