Northwest Eye Clinic, Llc is a Ophthalmology Clinic in Maple Grove, Minnesota. It is situated at 12000 Elm Creek Blvd N Ste 100, Maple Grove and its contact number is 763-416-7600. The authorized person of Northwest Eye Clinic, Llc is Kelly Pettengill
who is Credentialing And Data Management of the clinic and their contact number is 763-416-7629. Primary license number for Northwest Eye Clinic, Llc is 360 (Ophthalmology) in Minnesota. Northwest Eye Clinic, Llc Clinic have ophthalmologists who have the knowledge and professional skills to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Complete Clinic Profile:
Northwest Eye Clinic, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Clinic Address:
12000 Elm Creek Blvd N Ste 100, Maple Grove, Minnesota, 55369-7074
Phone:
763-416-7600
Fax:
763-416-7634
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Kelly Pettengill
Position:
Credentialing And Data Management
Contact Number:
763-416-7629
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Northwest Eye Clinic, Llc Clinic are as mentioned below.
NPI Number:
1164508917
NPI Enumeration Date:
27 Oct, 2006
NPI Last Update On:
18 Mar, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northwest Eye Clinic, Llc are as mentioned below.
Specialization
License Number
State
Status
Ophthalmology
360
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
221967100
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Northwest Eye Clinic, Llc 8401 Golden Valley Rd Ste 330, Golden Valley, Minnesota
Zip:
55427-4488
Phone Number:
763-416-7629
Fax Number:
763-383-4147
Patients can reach Northwest Eye Clinic, Llc at 12000 Elm Creek Blvd N Ste 100, Maple Grove, Minnesota or can call to book an appointment on 763-416-7600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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