MINNESOTA EYE CONSULTANTS, PA; NPI #1326019829

Contact Information

MINNESOTA EYE CONSULTANTS, PA

9801 DUPONT AVE SOUTH
SUITE 200
BLOOMINGTON, MN 55431-3180

Phone: 952-888-5800
Fax: 952-567-6156
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for MINNESOTA EYE CONSULTANTS, PA

NPI # 1326019829

LBN Legal business name MINNESOTA EYE CONSULTANTS, PA

Authorized official CLIFTON BAZHAW - (CHIEF REVENUE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/01/2006

Last updated 11/04/2025 - About 7 months ago

Identifiers

MN	License #	1751
MN	Medicaid	334216601
MN	Other	59Q32MI	BCBS GROUP OPTICAL

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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MINNESOTA EYE CONSULTANTS, PA

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for MINNESOTA EYE CONSULTANTS, PA

Reviews for MINNESOTA EYE CONSULTANTS, PA