<Unavail>
LBN: Ophthalmology Pa
<Unavail> is an health care organization with primary practice located at 3100 W 70Th St , Edina MN 55435-4227. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Ophthalmology Pa can be contacted via phone (952) 848-8300, or through Berg, Jessica Louise via phone (952) 848-8383.
Contact Information
Primary practice address
3100 W 70Th St
Edina MN 55435-4227
Phone: (952) 848-8300
Fax: (952) 848-8313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0026007 | Minnesota |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 0026007 | Minnesota |
Profile Details
| NPI number | 1114921996 |
|---|---|
| LBN Legal business name | Ophthalmology Pa |
| DBA Doing business as | <Unavail> |
| Authorized official | Berg, Jessica Louise |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | May 1st, 2026 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114921996 | NPPES |
| Minnesota | Other | CP4332 | RAILROAD MEDICARE |
| Minnesota | Other | 130790P | RAILROAD MEDICARE |
| Minnesota | Other | 156 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 585010000 | RAILROAD MEDICARE |
| Minnesota | Other | D044 | RAILROAD MEDICARE |
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