NPI 1083585731
Fairview Specialty Services
Practice location
- Address
- 2450 Riverside Ave, Minneapolis, MN 55454-1450
- Phone
- (855) 324-7843
- Mailing address
- 1700 University Ave W, Saint Paul, MN 55104-3727
Authorised official
- Name
- Joseph Charles Gaylord
- Title
- Chief Financial Officer
- Phone
- (612) 672-6119
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1083585731
- Entity type
- Organization
- NPI issued
- 16 Sep 2025
- Record last updated
- 16 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.