Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Columbia Park Medical Group, PA

Organization Eyewear Supplier · NPI 1326147505

Columbia Park Medical Group, PA is an Eyewear Supplier in Andover, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13819 Hanson Blvd NW
Andover, MN 55304-7608
Phone: (763) 572-5710
Fax: (763) 862-4415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X (MN)

Record details

NPI number1326147505
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColumbia Park Medical Group, PA
Authorized official Joen Condon — Chief Financial Officer · (763) 586-5839
Other names Andover - Eyewear
NPI enumeratedSeptember 22, 2006
Last updated in NPPESNovember 13, 2007
Mailing address6401 University Ave Ne, Fridley, MN 55432-4341

Other providers in Andover