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Contact Information

NORTH SUBURBAN OPTICAL
11855 ULYSSES ST
SUITE 140
BLAINE, MN55434
 Phone: 763-421-7420
 Fax: 763-421-0730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for NORTH SUBURBAN OPTICAL

NPI # 1306042817
LBN Legal business name NORTH SUBURBAN OPTICAL
Authorized official MARK LOBANOFF - (MD/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2007
Last updated 12/03/2018 - About 8 years ago
Identifiers n/a
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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