Northwest Eye Clinic, LLC
Northwest Eye Clinic, LLC is an Ophthalmology Physician in St Anthony, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
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 NE Ste 1St Anthony, MN 55421
Phone: (763) 416-7600
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
| Ophthalmology Physician (primary) | Taxonomy 207W00000X · Licence 360 (MN) |
|---|
Record details
| NPI number | 1255417002 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Pettengill — Credentialing And Data Management · (763) 416-7629 |
| NPI enumerated | October 27, 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 |