NORTHWEST EYE CLINIC, P.A.
NPI 1346326196
Ophthalmology in Golden Valley, MN

Active since October 27, 2006CLIA Certified · 2 labs
5657 DULUTH ST, GOLDEN VALLEY, MN 55422(763) 416-7600(763) 542-9708 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Ophthalmology
  • CLIA Number: 24D2288569
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-27-2027

About NORTHWEST EYE CLINIC, P.A.

This page provides the complete NPI Profile along with additional information for Northwest Eye Clinic, P.a., a provider established in Golden Valley, Minnesota operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1346326196 assigned on October 2006. The practitioner's primary taxonomy code is 207W00000X with license number 360 (MN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Audrey Irene Berg (Business Office Supervisor)

NPI
1346326196 Verify this NPI
Provider Name
NORTHWEST EYE CLINIC, P.A.
Entity Type
Organization
Location Address
5657 DULUTH ST GOLDEN VALLEY, MN 55422
Location Phone
(763) 416-7600
Location Fax
(763) 542-9708
Mailing Address
8401 GOLDEN VALLEY RD SUITE 330 GOLDEN VALLEY, MN 55427
Mailing Phone
(763) 383-4130
Mailing Fax
(763) 383-4147
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2006
Last Update Date
01-22-2009
Code Navigator

Ophthalmologists like Northwest Eye Clinic, P.a. specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
360
License State
MN
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AUDREY IRENE BERG

Authorized Official Title
BUSINESS OFFICE SUPERVISOR
Authorized Official Phone
(763) 383-4140

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0353640006MEDICARE NSC (07)MN 
C00447MEDICARE ID-TYPE UNSPECIFIED (04)MNMEDICARE GROUP NUMBER
290445400MEDICAID (05)MN 
CP2452MEDICARE PIN (08)MN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2288569
Facility Type
Physician Office
Certificate Effective Date
August 28, 2025
Certificate Expiration Date
August 27, 2027
Laboratory Director
DENISE L. TOMNICZAK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northwest Eye Clinic, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NORTHWEST EYE CLINIC, P.A.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Ophthalmology
5657 DULUTH ST
GOLDEN VALLEY, MN 55422

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346326196, enumerated as an "organization" on October 27, 2006.

The provider is located at 5657 DULUTH ST GOLDEN VALLEY, MN 55422 and the phone number is (763) 416-7600.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.