Roseville Opticians

LBN: Roseville Opticians
Roseville Opticians is an health care organization with primary practice located at 1790 Lexington Ave N , Saint Paul MN 55113-6167. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Roseville Opticians can be contacted via phone (651) 489-8800, or through Kennedy, Robert B via phone (651) 489-8800.

Contact Information

Primary practice address
1790 Lexington Ave N Saint Paul MN 55113-6167
Phone: (651) 489-8800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Robert B Doctor of Optometry (OD)
Phone: (651) 489-8800

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1992937338
LBN Legal business name Roseville Opticians
DBA Doing business as
Authorized official Kennedy, Robert B Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 19th, 2009
Last updated Aug 19th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992937338 NPPES
Minnesota Other 27620RO BC/BS OF MN

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