Organization · Type 2 NPI

Distinctive Eyewear, LLC

Optician · Golden Valley, MN

NPI number 1457690133 Active

Practice location

8501 Golden Valley Rd Ste 100
Golden Valley, MN 55427-4472

Call (763) 416-7655 Map

Fax (763) 416-7634

Mailing address

8401 Golden Valley Rd Ste 330
Golden Valley, MN 55427-4488

Specialties and licenses

Taxonomy	Code	License
Contact Lens Technician/Technologist	156FC0800X	None listed
Optician Primary	156FX1800X	None listed
Eyewear Supplier	332H00000X	None listed

Optician: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

13 other providers at this address

NPI record

NPI: 1457690133
Entity type: Organization (Type 2)
Issued: Jan 31, 2013
Last updated: Mar 18, 2020
Status: Active

Other names

<unavail>
Northwest Eyewear · doing business as
Northwest Eyewear · doing business as

Authorized official

Kelly Pettengill
Credentialing and Data Management
(763) 416-7629

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457690133

Distinctive Eyewear, LLC's National Provider Identifier is 1457690133, issued on Jan 31, 2013. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Golden Valley, MN. The record was last updated on Mar 18, 2020.