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NORTHWEST EYEWEAR
NPI 1104908649
Eyewear Supplier in Minnetonka, MN

Active since October 20, 2006
6060 CLEARWATER DR STE 150, MINNETONKA, MN 55343(763) 416-7656(763) 416-7634 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northwest Eyewear NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST EYEWEAR (NPI 1104908649) is a healthcare organization registered as an eyewear supplier in Minnetonka, Minnesota and active in the NPI registry since October 2006. The organization lists Kelly Pettengill, Credentialing And Data Management, as its authorized official.

NPPES Registry Identity

NPI1104908649
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDISTINCTIVE EYEWEAR, LLC
Location Address6060 CLEARWATER DR STE 150Minnetonka, MN 55343-9490
Mailing Address8401 Golden Valley Rd Ste 330Golden Valley, MN 55427-4488 · (763) 416-7629 · Fax (763) 383-4147
Phone(763) 416-7656
Fax(763) 416-7634
Organization SubpartNo
Authorized OfficialKelly PettengillCredentialing And Data Management · (763) 416-7629
Enumeration DateOctober 20, 2006
Last NPPES UpdateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
✔ NPI 1104908649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
6060 CLEARWATER DR STE 150, Minnetonka, MN 55343
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Other Names 1

Doing Business AsNorthwest Eyewear

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM KEITH ENGEL MD
Ophthalmology
6060 CLEARWATER DR STE 150
MINNETONKA, MN 55343
Hennepin County (763) 416-7600
DR. RICHARD S FREEMAN MD
Ophthalmology
6060 CLEARWATER DR STE 150
MINNETONKA, MN 55343
Hennepin County (763) 416-7600
NORTHWEST EYE CLINIC, LLC
Ophthalmology
6060 CLEARWATER DR STE 150
MINNETONKA, MN 55343
Hennepin County (763) 416-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Distinctive Eyewear, LLC's NPI number?

The NPI number for Distinctive Eyewear, LLC is 1104908649. It was assigned to this organization in the NPPES registry on October 20, 2006. The provider is doing business as Northwest Eyewear.

Where is Distinctive Eyewear, LLC located?

Distinctive Eyewear, LLC is located at 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343. The listed phone number is (763) 416-7656.

What is Distinctive Eyewear, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Distinctive Eyewear, LLC was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.