Distinctive Eyewear, LLC
Distinctive Eyewear, LLC is an Optician in St Anthony, Minnesota. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2601 39th Ave NESt Anthony, MN 55421
Phone: (763) 416-7674
Fax: (763) 416-7634
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X |
|---|---|
| Optician | Taxonomy 156FX1800X |
Record details
| NPI number | 1548342124 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Pettengill — Credentialing & Data Management · (763) 416-7629 |
| Other names | Northwest Eyewear; Northwest Eyewear |
| NPI enumerated | October 20, 2006 |
| Last updated in NPPES | March 18, 2020 |
| Certification date | March 18, 2020 |
| Mailing address | 8401 Golden Valley Rd Ste 330, Golden Valley, MN 55427-4488 |