Organization · Type 2 NPI

Edina Eye Physicians and Surgeons PA

Medical Specialty Clinic/Center · Blaine, MN

NPI number 1114124971 Active

Practice location

11855 Ulysses St, Suite 140
Blaine, MN 55434

Fax (763) 421-0730

Mailing address

3777 Coon Rapids Blvd NW Ste 100
Coon Rapids, MN 55433-2630

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1114124971

Edina Eye Physicians and Surgeons PA's National Provider Identifier is 1114124971, issued on Jun 27, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Blaine, MN. The record was last updated on Jan 28, 2026.