Spectacle Shoppe Inc.
Spectacle Shoppe Inc. is a healthcare organization registered as Optometrist in Saint Paul, MN, holding Type 2 (organization) NPI 1376680165 since 2007. The authorized official on file is Beth Ulrich, Authorized Offical/Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376680165 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Spectacle Shoppe Inc. |
| Practice address | 1089 GRAND AVE, Saint Paul, MN, 55105 |
| Phone | 6517974834 |
| Fax | 6517889153 |
| Enumeration date | 2007-01-31 |
| Last updated in NPPES | 2025-03-21 |
Authorized official
| Name | Beth Ulrich |
|---|---|
| Title | Authorized Offical/Coo |
| Phone | 6516363434 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Secondary | — | — |
| 152W00000X | Optometrist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6C261SP | Other | MN | BCBS |
| 93268 | Other | MN | PREFERRED ONE |
Copy-ready billing details
Provider: Spectacle Shoppe Inc. NPI: 1376680165 Taxonomy: 152W00000X (Optometrist) Address: 1089 GRAND AVE, Saint Paul, MN, 55105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912224767 | The Spectacle Shoppe Inc | Organization | Optometrist | Saint Paul, MN |
| 1700370749 | Jacob Erickson | Individual | Optometrist | Saint Paul, MN |
Verify this record
Cross-check NPI 1376680165 against the authoritative CMS record: view Spectacle Shoppe Inc. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Spectacle Shoppe Inc.?
What is the NPI number for Spectacle Shoppe Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-21.