NORTHWEST EYEWEAR
NPI 1154403723
Eyewear Supplier in Golden Valley, MN
About Northwest Eyewear NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST EYEWEAR (NPI 1154403723) is a healthcare organization registered as an eyewear supplier in Golden Valley, Minnesota and active in the NPI registry since October 2006. The organization maintains 4 additional practice locations and lists Kelly Pettengill, Credentialing And Data Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 4
Group Practice 1
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Distinctive Eye carries, from the Medicare DMEPOS supplier directory.
Distinctive Eye
DMEPOS supplier · Golden Valley, MNOperated by Distinctive Eyewear LLCAccepts Medicare assignment
Distinctive Eye agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLDEN VALLEY, MN 55427
GOLDEN VALLEY, MN 55427
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 1154403723. 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 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427. The listed phone number is (763) 416-7655.
What is Distinctive Eyewear, LLC's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Does Distinctive Eyewear, LLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Distinctive Eye accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
When was this NPI record last updated?
The NPPES record for Distinctive Eyewear, LLC was last updated on March 19, 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.
# Northwest Eyewear · NPI 1154403723
Eyewear Supplier organization in Golden Valley, Minnesota. Organization record, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1154403723 (Entity type: Organization)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Legal business name:** Distinctive Eyewear, Llc
- **Organization subpart:** No
- **Authorized official:** Kelly Pettengill, CREDENTIALING AND DATA MANAGEMENT
## Practice location
- **Address:** 8501 GOLDEN VALLEY RD STE 100, Golden Valley, MN 55427-4472
- **Phone:** (763) 416-7655 · **Fax:** (763) 416-7634
## Record status
- **NPPES last updated:** March 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1154403723) · Data from the CMS NPPES public registry.