Distinctive Eyewear, Llc is a Technician/technologist (Optician) Store in Maple Grove, Minnesota. It is situated at 12000 Elm Creek Blvd N Ste 100, Maple Grove and its contact number is 763-416-7653. The authorized person of Distinctive Eyewear, Llc is Kelly Pettengill
who is Credentialing And Data Management of the store and their contact number is 763-416-7629.
Distinctive Eyewear, Llc is definition to come...
Complete Center Profile:
Distinctive Eyewear, Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
| Specialization: | Optician, Technician/technologist |
| Address: | 12000 Elm Creek Blvd N Ste 100, Maple Grove,
Minnesota, 55369-7074 |
| Phone: | 763-416-7653 |
| Fax: | 763-416-7634 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store 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 Distinctive Eyewear, Llc center are as mentioned below.
| NPI Number: | 1043392632 |
| NPI Enumeration Date: | 20 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 Distinctive Eyewear, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Eyewear Supplier (equipment, Not The Service) | | | Primary | |
| Optician | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Distinctive Eyewear, 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 Distinctive Eyewear, Llc at
12000 Elm Creek Blvd N Ste 100, Maple Grove, Minnesota or can
call to book an appointment on 763-416-7653.
Comments/ Reviews:
Patients can read all the reviews posted for Distinctive Eyewear, Llc below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Distinctive Eyewear, Llc. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.