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Contact Information

OPHTHALMOLOGY PA
3100 W 70TH ST
EDINA, MN55435-4227
 Phone: 952-848-8300
 Fax: 952-848-8313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for OPHTHALMOLOGY PA

NPI Number 1114921996
LBN Legal business name OPHTHALMOLOGY PA
Authorized official JESSICA BERG - (BUSINESS OFFICE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2005
Last updated 05/01/2026 - About a month ago
Identifiers
MN License # 0026007
MN Medicaid 585010000
MN Other 130790P BLUE SHIELD OF MINNESOTA
MN Other 156 HEALTH PARTNERS
MN Other CP4332 RAILROAD MEDICARE
MN Other D044 UCARE MINNESOTA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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