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FAIRVIEW SPECIALTY SERVICES
NPI 1508745886
Eyewear Supplier in Minneapolis, MN

Active since August 29, 2025
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(855) 324-7843 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairview Specialty Services NPPES

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

FAIRVIEW SPECIALTY SERVICES (NPI 1508745886) is a healthcare organization registered as an eyewear supplier in Minneapolis, Minnesota and active in the NPI registry since August 2025. The organization lists Joseph Charles Gaylord, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1508745886
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameFAIRVIEW SPECIALTY SERVICES
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727
Phone(855) 324-7843
Organization SubpartNo
Authorized OfficialJoseph Charles GaylordChief Financial Officer · (612) 672-6119
Enumeration DateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1508745886 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.
2450 RIVERSIDE AVE, Minneapolis, MN 55454
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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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Fairview Specialty Services's NPI number?

The NPI number for Fairview Specialty Services is 1508745886. It was assigned to this organization in the NPPES registry on August 29, 2025.

Where is Fairview Specialty Services located?

Fairview Specialty Services is located at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (855) 324-7843.

What is Fairview Specialty Services'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 Fairview Specialty Services was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.