Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Columbia Park Medical Group, PA

Eyewear Supplier in Fridley, MN · enumerated 2006 · authorized official Joen Condon, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205933611

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Registry record

Entity type Organization (Type 2)

Legal business name Columbia Park Medical Group, PA

Other name <Unavail>

Parent organization Columbia Park Medical Group

Practice address 6341 University Ave Ne, Fridley, MN, 55432

Phone (763) 572-5718

Fax (763) 572-0318

Enumeration date Sep 20, 2006

Last updated in NPPES Nov 13, 2007

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Joen Condon

Title Chief Financial Officer

Phone (763) 586-5839

Other identifiers

Identifier	Type	State	Issuer
5C734CO	Other	MN	BCBS EYEWARE
21140	Other	MN	MEDICA EYEWARE
21-00011	Other	MN	EYECRAFT LAB
126906	Other	MN	UCARE EYEWARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-11-13. Verify at npiregistry.cms.hhs.gov.

Where is Columbia Park Medical Group, PA located?

The practice location on file with NPPES is in Fridley, MN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-13.