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Southdale Optical Co

Eyewear Supplier in Edina, MN · enumerated 2005 · authorized official Bradley Peterson, President.

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

National Provider Identifier

1871576306

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Registry record

Entity type Organization (Type 2)
Legal business name Southdale Optical Co
Practice address 6533 Drew Ave S, Edina, MN, 55435
Phone (952) 925-9550
Fax (952) 925-9748
Enumeration date Nov 29, 2005
Last updated in NPPES Jun 16, 2009

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Bradley Peterson
Title President
Phone (952) 925-9550

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 is the NPI number for Southdale Optical Co?
The NPI for Southdale Optical Co is 1871576306, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southdale Optical Co?
NPPES lists Bradley Peterson (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-16.