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

Maple Grove Vision Clinic, PA

Organization Optometrist · NPI 1366472342

Maple Grove Vision Clinic, PA is an Optometrist in Maple Grove, Minnesota. Registered with an NPI since 2006.

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

13645 Grove Dr
Maple Grove, MN 55311-4405
Phone: (763) 420-8030
Fax: (763) 420-8342
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1366472342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Thiel — Clinic Administrator · (763) 420-8030
NPI enumeratedJuly 4, 2006
Last updated in NPPESAugust 31, 2009
Mailing address13645 Grove Dr, Maple Grove, MN 55311-4405

Other providers in Maple Grove