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

Columbia Park Medical Group, PA

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

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

National Provider Identifier

1760589170

Verified

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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 10000 Zane Ave N, Brooklyn Park, MN, 55443
Fax (763) 569-6200
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

Other identifiers

Identifier Type State Issuer
5C727CO Other MN BCBS EYEWARE
102326 Other MN UCARE EYEWARE
21-08316 Other MN EYECRAFT LAB
08316 Other MN MEDICA 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

Where is Columbia Park Medical Group, PA located?
The practice location on file with NPPES is in Brooklyn Park, MN.
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.

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