Organization · Type 2 NPI

Fifth Avenue of Edina Inc.

Eyewear Supplier · Edina, MN

NPI number 1821243239 Active

Practice location

3540 Galleria
Edina, MN 55435-4218

Call (952) 922-1052 Map

Fax (952) 922-2518

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000X1456 (MN)
Eyewear Supplier Primary 332H00000X1456 (MN)

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

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About NPI 1821243239

Fifth Avenue of Edina Inc.'s National Provider Identifier is 1821243239, issued on Nov 26, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Edina, MN. The record was last updated on Jun 13, 2012.