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
- City
- St Louis Park
- State
- Minnesota
- 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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