Organization · Type 2 NPI

Columbia Park Medical Group, PA

Eyewear Supplier · Fridley, MN

NPI number 1205933611 Active

Practice location

6341 University Ave NE
Fridley, MN 55432-4946

Call (763) 572-5718 Map

Fax (763) 572-0318

Mailing address

6401 University Ave NE
Fridley, MN 55432-4341

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000XNone listed

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

63 other providers at this address

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About NPI 1205933611

Columbia Park Medical Group, PA's National Provider Identifier is 1205933611, issued on Sep 20, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fridley, MN. The record was last updated on Nov 13, 2007.