Fairview Express Care

NPI #1750833562 in Eagan, Minnesota

Provider Information

NPI Number: 1750833562
Entity Type: Organization
Organization Name: Fairview Express Care
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 27, 2016
Last Updated: Dec 15, 2020

Practice Location

Address: 3305 CENTRAL PARK VILLAGE DR
Address 2: SUITE 160
City: Eagan
State: Minnesota
ZIP Code: 55121-7707
Phone: (651) 405-5801

Authorized Official

Name: ROBERT ANDREW MCCOY
Title: VP REVENUE MANAGEMENT
Phone: (612) 672-6594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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