NPI 1285084954
North Suburban Optical
Practice location
- Address
- 4520 Centerville Rd, Saint Paul, MN 55127-3602
- Phone
- (763) 421-7420
- Mailing address
- 3777 Coon Rapids Blvd NW STE 100, Coon Rapids, MN 55433-2630
Authorised official
- Name
- Delta Jorgensen
- Title
- Organizational Liaison
- Phone
- (763) 592-8413
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1285084954
- Entity type
- Organization
- NPI issued
- 14 Jun 2016
- Record last updated
- 9 Nov 2018
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.