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Park Nicollet Health Care Products

Eyewear Supplier in St Louis Park, MN · enumerated 2006 · authorized official Kristin Brey, Delegated Official.

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

National Provider Identifier

1609838614

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Park Nicollet Health Care Products
Parent organization Park Nicollet
Practice address Eye Care and Optical Store, 3900 Park Nicollet Blvd Ste 120, St Louis Park, MN, 55416
Fax (952) 993-0562
Enumeration date Apr 5, 2006
Last updated in NPPES Sep 24, 2025

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Kristin Brey
Title Delegated Official

Other identifiers

Identifier Type State Issuer
21398500 Medicaid MN -

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

Where is Park Nicollet Health Care Products located?
The practice location on file with NPPES is in St Louis Park, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-24. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-24.