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PARK NICOLLET HEALTH CARE PRODUCTS
NPI 1609838614
Eyewear Supplier in St Louis Park, MN

Active since April 05, 2006
EYE CARE AND OPTICAL STORE, 3900 PARK NICOLLET BLVD STE 120, ST LOUIS PARK, MN 55416(952) 993-3150(952) 993-0562 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Park Nicollet Health Care Products NPPES

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

PARK NICOLLET HEALTH CARE PRODUCTS (NPI 1609838614) is a healthcare organization registered as an eyewear supplier in St Louis Park, Minnesota and active in the NPI registry since April 2006. The organization lists Kristin Denise Brey, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1609838614
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NamePARK NICOLLET HEALTH CARE PRODUCTS
Location AddressEYE CARE AND OPTICAL STORE, 3900 PARK NICOLLET BLVD STE 120St Louis Park, MN 55416-2503
Mailing AddressPn Hcp-eye Care And Optical Store, 3800 Park Nicollet Blvd # Ms 61901cSt Louis Park, MN 55416-2527 · (952) 993-3150 · Fax (952) 993-0562
Phone(952) 993-3150
Fax(952) 993-0562
Organization SubpartYesParent: Park Nicollet
Authorized OfficialKristin Denise BreyDelegated Official · (952) 993-6832
Enumeration DateApril 5, 2006
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1609838614 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.

EYE CARE AND OPTICAL STORE, St Louis Park, MN 55416
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Other Identifiers 1

Medicaid21398500MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 Park Nicollet Health Care Products's NPI number?

The NPI number for Park Nicollet Health Care Products is 1609838614. It was assigned to this organization in the NPPES registry on April 5, 2006.

Where is Park Nicollet Health Care Products located?

Park Nicollet Health Care Products is located at Eye Care And Optical Store 3900 Park Nicollet Blvd Ste 120, St Louis Park, MN 55416. The listed phone number is (952) 993-3150.

What is Park Nicollet Health Care Products's specialty?

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

What insurance does Park Nicollet Health Care Products accept?

Health plans from HealthPartners list Park Nicollet Health Care Products as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Park Nicollet Health Care Products was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.