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Distinctive Eyewear, Llc
Eyewear Supplier in Maple Grove, Minnesota
NPI 1043392632

Distinctive Eyewear, Llc is a Eyewear Supplier based in Golden Valley, MN. Distinctive Eyewear, Llc practices in Maple Grove, MN. The NPI Number for Distinctive Eyewear, Llc is 1043392632 and holds a License No. (Minnesota).

The current practice location address for Distinctive Eyewear, Llc is 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN and can be reached out via phone at 763-416-7653 and via fax at 763-416-7634.

Location: 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN, 55427-4488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043392632
Provider Name
Distinctive Eyewear, Llc
Credential
Provider Entity Type
Organization
Address
12000 Elm Creek Blvd N Ste 100, Maple Grove, MN, 55427-4488
Phone Number
763-416-7653
Fax Number
763-416-7634
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12000 Elm Creek Blvd N Ste 100
City
Maple Grove
State
Minnesota
Zip
55369-7074
Phone Number
763-416-7653
Fax Number
763-416-7634
person
Provider Business Mailing Address Details
Address
12000 Elm Creek Blvd N Ste 100
City
Maple Grove
State
Minnesota
Zip
55369-7074
Phone Number
763-416-7653
Fax Number
763-416-7634
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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