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Distinctive Eyewear, LLC

Optician in Golden Valley, MN · enumerated 2013 · authorized official Kelly Pettengill, Credentialing and Data Management.

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

National Provider Identifier

1457690133

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Registry record

Entity type Organization (Type 2)
Legal business name Distinctive Eyewear, LLC
Other name <Unavail>
Practice address 8501 Golden Valley Rd Ste 100, Golden Valley, MN, 55427
Fax (763) 416-7634
Enumeration date Jan 31, 2013
Last updated in NPPES Mar 18, 2020

Taxonomy & classification

156FC0800X Contact Lens Technician/Technologist Eye and Vision Services Providers Secondary
156FX1800X Optician Eye and Vision Services Providers Primary
332H00000X Eyewear Supplier Suppliers Secondary

Authorized official

Name Kelly Pettengill
Title Credentialing and Data Management

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 Distinctive Eyewear, LLC?
Distinctive Eyewear, LLC is registered in NPPES as a Optician (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 2020-03-18.