Park Nicollet Health Care Products

NPI #1609838614 in St Louis Park, Minnesota

Provider Information

NPI Number
1609838614
Entity Type
Organization
Organization Name
Park Nicollet Health Care Products
Subpart
Yes (part of a larger organization)
Parent Organization
PARK NICOLLET
Primary Specialty
Eyewear Supplier
Enumeration Date
Apr 5, 2006
Last Updated
Sep 24, 2025

Practice Location

Address
EYE CARE AND OPTICAL STORE
Address 2
3900 PARK NICOLLET BLVD STE 120
ZIP Code
55416-2503
Phone
(952) 993-3150

Authorized Official

Name
KRISTIN DENISE BREY, SUPERVISOR
Title
DELEGATED OFFICIAL
Phone
(952) 993-6832

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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