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Northwest Eye Clinic, LLC

Ophthalmology Physician 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

1992044432

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Registry record

Entity type Organization (Type 2)
Legal business name Northwest Eye Clinic, LLC
Practice address 8501 Golden Valley Rd Ste 100, Golden Valley, MN, 55427
Fax (763) 416-7634
Enumeration date Feb 4, 2013
Last updated in NPPES Mar 18, 2020

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 360 (MN) Primary

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 is the NPI number for Northwest Eye Clinic, LLC?
The NPI for Northwest Eye Clinic, LLC is 1992044432, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Northwest Eye Clinic, LLC?
NPPES lists Kelly Pettengill (Credentialing and Data Management) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-18.