Costco Optical

LBN: Apolade Inc
Costco Optical is an health care organization with primary practice located at 11330 Fountains Dr , Maple Grove MN 55369-7200. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Apolade Inc can be contacted via phone (763) 494-8063, or through Nelson, Tim J via phone (612) 743-1400.

Contact Information

Primary practice address
11330 Fountains Dr Maple Grove MN 55369-7200
Phone: (763) 494-8063
Fax: (763) 494-8062
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Tim J Doctor of Optometry (OD)
Phone: (612) 743-1400

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2827 Minnesota

Profile Details

NPI number 1740313824
LBN Legal business name Apolade Inc
DBA Doing business as Costco Optical
Authorized official Nelson, Tim J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Dec 11th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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