Ophthalmology Pa

LBN: Ophthalmology Pa
Ophthalmology Pa is an health care organization with primary practice located at 3100 W 70Th St , Edina MN 55435-4227. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Ophthalmology Pa can be contacted via phone (952) 848-8300, or through Madison, Angie via phone (952) 848-8312.

Contact Information

Primary practice address
3100 W 70Th St Edina MN 55435-4227
Phone: (952) 848-8300
Fax: (952) 848-8312
Website:
Map and Directions
Authorized official contact:
Name: Madison, Angie
Phone: (952) 848-8312

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0026007 Minnesota
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 0026007 Minnesota

Profile Details

NPI number 1114921996
LBN Legal business name Ophthalmology Pa
DBA Doing business as
Authorized official Madison, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Oct 11th, 2022 - 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 1114921996 NPPES
Minnesota MEDICAID 585010000
Minnesota Other CP4332
Minnesota Other D044
Minnesota Other 130790P
Minnesota Other 156

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