Northwest Eye Clinic, P.A.

LBN: Northwest Eye Clinic, P.A.
Northwest Eye Clinic, P.A. is an health care organization with primary practice located at 5657 Duluth St , Golden Valley MN 55422-4054. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Northwest Eye Clinic, P.A. can be contacted via phone (763) 416-7600, or through Berg, Audrey Irene via phone (763) 383-4140.

Contact Information

Primary practice address
5657 Duluth St Golden Valley MN 55422-4054
Phone: (763) 416-7600
Fax: (763) 542-9708
Website:
Map and Directions
Authorized official contact:
Name: Berg, Audrey Irene
Phone: (763) 383-4140

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 360 Minnesota

Profile Details

NPI number 1346326196
LBN Legal business name Northwest Eye Clinic, P.A.
DBA Doing business as
Authorized official Berg, Audrey Irene
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Jan 22nd, 2009 - about 15 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 1346326196 NPPES
Minnesota MEDICAID 290445400

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