FRIDLEY PLAZA - EYEWARE
NPI 1205933611
Eyewear Supplier in Fridley, MN

Q: What is Columbia Park Medical Group, PA's NPI number?

The NPI number for Columbia Park Medical Group, PA is 1205933611. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is also known as Fridley Plaza - Eyeware.

Q: What is Columbia Park Medical Group, PA's specialty?

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

Active since September 20, 2006

6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432(763) 572-5718(763) 572-0318 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fridley Plaza - Eyeware NPPES

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

FRIDLEY PLAZA - EYEWARE (NPI 1205933611) is a healthcare organization registered as an eyewear supplier in Fridley, Minnesota and active in the NPI registry since September 2006. The organization lists Joen V Condon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1205933611

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameCOLUMBIA PARK MEDICAL GROUP, PA

Location Address6341 UNIVERSITY AVE NEFridley, MN 55432-4946

Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008

Phone(763) 572-5718

Fax(763) 572-0318

Organization SubpartYesParent: Columbia Park Medical Group

Authorized OfficialJoen V CondonChief Financial Officer · (763) 586-5839

Enumeration DateSeptember 20, 2006

Last NPPES UpdateNovember 13, 2007

✔ NPI 1205933611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

6341 UNIVERSITY AVE NE, Fridley, MN 55432

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Other Names 1

Other NameFridley Plaza - Eyeware

Other Identifiers 4

Other21140MN · Medica Eyeware

Other5C734COMN · Bcbs Eyeware

Other21-00011MN · Eyecraft Lab

Other126906MN · Ucare Eyeware

Other Providers at the Same Location NPPES 20

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

DR. ALAN E. SADOWSKY M.D.

Ophthalmology