Fifth Avenue Optical is a
Eyewear Supplier based in Edina, Minnesota. Fifth Avenue Optical is licensed to practice in Minnesota (license number 1456) and their current practice location is
3540 Galleria, Edina, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(952) 922-1052.
NPI number for Fifth Avenue Optical is 1821243239 and their current mailing address is 3540 Galleria, Edina, Minnesota. Fifth Avenue Optical
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1821243239.
Healthcare Provider's Profile
| Full Name | Fifth Avenue Optical |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 3540 Galleria, Edina, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821243239
- Provider Enumeration Date: 11/26/2008
- Last Update Date: 06/13/2012
Medical Identifiers
Medical identifiers for Fifth Avenue Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821243239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1456 (Minnesota) | Secondary |
| 332H00000X | Eyewear Supplier | 1456 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fifth Avenue Optical is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fifth Avenue Optical
3540 Galleria,
Edina, MN 55435-4218
Ph: (952) 922-1052 | Fifth Avenue Optical
3540 Galleria,
Edina, MN 55435-4218
Ph: (952) 922-1052 |
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