DISTINCTIVE EYEWEAR


Address: 5657 Duluth St, Golden Valley, MN 55422-4054
Phone: 7634167600

DISTINCTIVE EYEWEAR (NPI# 1033291612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033291612
Entity Type Organization
Organization Name DISTINCTIVE EYEWEAR
Other Organization Name NORTHWEST EYEWEAR
Practice Address 5657 Duluth St
Golden Valley
MN 55422-4054
Practice Telephone 7634167600
Mailing Telephone 7634167600
Mailing Fax Number 7635429708
Enumeration Date 2006-10-20
Last Update Date 2011-08-01
Authorized Official Name AUDREY IRENE BERG (BUSINESS OFFICE SUPERVISOR)
Authorized Official Telephone 7633834140
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers
Y 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers

Other Provider/Organization Names

Other Name Type Code
Northwest Eyewear Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073750071 Distinctive Eyewear Technician/Technologist 18157 Carson Ct Nw, Suite C, Elk River, MN 55330-3610 2009-01-13
1215019823 Distinctive Eyewear Technician/Technologist 2805 Campus Dr, Suite 105, Plymouth, MN 55441-2676 2006-10-20
1558443168 Distinctive Eyewear Technician/Technologist 21395 John Milless Dr, Suite 200, Rogers, MN 55374-4402 2006-10-20

Office Location

Street Address 5657 DULUTH ST
City GOLDEN VALLEY
State MN
Zip Code 55422-4054

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942288659 Charles S Ostrov Ophthalmology 5657 Duluth St, Golden Valley, MN 55422-4054 2006-01-03
1346326196 Northwest Eye Clinic, P.a. Ophthalmology 5657 Duluth St, Golden Valley, MN 55422-4054 2006-10-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154966794 Trevor Velin Chiropractor Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 2019-11-07
1780165134 American Current Care of Minnesota PC Clinic/Center 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 2018-08-23
1366928426 Creekside Family Dental Pllc Dentist Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 2018-07-12
1497249536 Luke Utecht Psychologist 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 2018-06-21
1821582115 Ajaa Oliver Registered Nurse 3606 Zenith Ave N, Robbinsdale, MN 55422 2018-06-19
1306348024 Leila Jean Erlandson Marriage & Family Therapist Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 2018-03-08
1467969907 Minneapolis Health Clinic Pllc Internal Medicine 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 2018-01-05
1275049116 Lake Town Homecare, LLC In Home Supportive Care 4119 Scott Ave N, Robbinsdale, MN 55422 2017-12-14
1750894002 Unihealth Home Care, LLC Home Health 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 2017-11-08
1194172296 Crosscultural Health Care Inc Home Health 5801 Duluth Street Suite 310, Golden Valley, MN 55422 2016-05-18
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Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235695594 Park Nicollet Health Care Products Eyewear Supplier (Equipment, not the service) 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 2019-02-12
1457690133 Distinctive Eyewear, LLC Eyewear Supplier (Equipment, not the service) 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 2013-01-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801493903 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 11995 Business Park Blvd N, Champlin, MN 55316 2020-10-02
1659920460 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3408 Galleria, Edina, MN 55435 2019-09-05
1891351268 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1101 E College Dr, Marshall, MN 56258-2366 2019-05-11
1730745100 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1459 W Service Dr, Winona, MN 55987-2512 2019-05-11
1649836016 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1023 E Blue Earth Ave, Fairmont, MN 56031-4076 2019-05-11
1124684592 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1004 18th Ave Nw Ste D, Austin, MN 55912-1993 2019-05-11
1053977421 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 2019-05-11
1942866371 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 4051 W Division St Ste A, Saint Cloud, MN 56301-3741 2019-05-10
1831651165 Don Sealock, O.d., P.a. Eyewear Supplier (Equipment, not the service) 3366 Oakdale Ave N Ste 140, Robbinsdale, MN 55422-2961 2019-04-04
1538624341 Don Sealock, O.d., P.a. Eyewear Supplier (Equipment, not the service) 9825 Hospital Dr # 106, Maple Grove, MN 55369-4479 2019-02-06
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Competitor

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City GOLDEN VALLEY
Zip Code 55422

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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