Ophthalmology PA

NPI #1114921996 in Edina, Minnesota

Provider Information

NPI Number: 1114921996
Entity Type: Organization
Organization Name: Ophthalmology PA
Primary Specialty: Ophthalmology
Enumeration Date: Jun 9, 2005
Last Updated: May 5, 2025

Practice Location

Address: 3100 W 70TH ST
City: Edina
State: Minnesota
ZIP Code: 55435-4227
Phone: (952) 848-8300

Authorized Official

Name: JESSICA LOUISE BERG
Title: BUSINESS OFFICE
Phone: (952) 848-8383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Ophthalmology	207W00000X	Primary

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