St Paul Eye Clinic PA
Eyewear Supplier (Equipment, not the service) in Woodbury, MN. Organization (NPI-2).
NPI number1669574646
StatusActive
Last updated in NPPESJun 15, 2012
Details
- NPI
- 1669574646
- Entity type
- Organization (NPI-2)
- Legal business name
- St Paul Eye Clinic PA
- Organization subpart
- No
- Enumeration date
- Sep 1, 2006
- Last updated
- Jun 15, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
2080 Woodwinds DrSuite 230
Woodbury, MN 55125-2524
Phone 651-738-6800
Mailing address
2080 Woodwinds DrSuite 110
Woodbury, MN 55125-2524
Phone 651-738-6800
Authorized official
Thomas J. Rice
President
6517386800
Is something wrong?
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All 10 Eyewear Supplier providers in Woodbury · All 3,087 providers in Woodbury
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