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Columbia Park Medical Group, PA

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

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

National Provider Identifier

1326147505

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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, PA
Practice address 13819 Hanson Blvd Nw, Andover, MN, 55304
Fax (763) 862-4415
Enumeration date Sep 22, 2006
Last updated in NPPES Nov 13, 2007

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Joen Condon
Title Chief Financial Officer

Other identifiers

Identifier Type State Issuer
21181 Other MN MEDICA EYEWARE
52Q42CO Other MN BCBS EYEWARE
126908 Other MN UCARE EYEWARE
21-00115 Other MN EYECRAFT LAB

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

What type of organization is Columbia Park Medical Group, PA?
Columbia Park Medical Group, PA is registered in NPPES as a Eyewear Supplier (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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