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COLUMBIA PARK - EYEWARE
NPI 1619077575
Eyewear Supplier in Columbia Heights, MN

Active since September 22, 2006
4000 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421(763) 572-5710(763) 782-8100 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Columbia Park - Eyeware NPPES

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

COLUMBIA PARK - EYEWARE (NPI 1619077575) is a healthcare organization registered as an eyewear supplier in Columbia Heights, Minnesota and active in the NPI registry since September 2006. The organization lists John Louis Weir, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619077575
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOLUMBIA PARK MEDICAL GROUP, PA
Location Address4000 CENTRAL AVE NEColumbia Heights, MN 55421-2968
Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008
Phone(763) 572-5710
Fax(763) 782-8100
Organization SubpartNo
Authorized OfficialJohn Louis WeirExecutive Director · (763) 586-5877
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619077575 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.
4000 CENTRAL AVE NE, Columbia Heights, MN 55421
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Other Names 1

Other NameColumbia Park - Eyeware

Other Identifiers 4

Other5C728COMN · Bcbs Eyeware
Other126907MN · Ucare Eyeware
Other21-00010MN · Eyecraft Lab
Other21139MN · Medica 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. STEVEN CHARLES LONG M.D.
Internal Medicine
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 572-5710
PDG, P.A.
Dentist (General Practice)
4000 CENTRAL AVE NE, #308
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 781-7475
DOHA SALEM
Dietitian, Registered
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 782-8183
DR. ROMAN JOSEPH ZOWNIROWYCZ M.D.
Family Medicine
4000 CENTRAL AVE NE
MINNEAPOLIS, MN 55421
Anoka County (763) 572-5710
DR. ROBERT NERVIN HOVDA M.D.
Family Medicine
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 782-8183
COLUMBIA PARK MEDICAL GROUP, PA
Pharmacy (Clinic Pharmacy)
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 572-5710
FAIRVIEW CLINICS
Clinic/Center (Multi-Specialty)
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 572-5700
DR. CEPHAS MAWUENA AGBEH M.D.
Obstetrics & Gynecology
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (736) 572-5710

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 Columbia Park Medical Group, PA's NPI number?

The NPI number for Columbia Park Medical Group, PA is 1619077575. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is also known as Columbia Park - Eyeware.

Where is Columbia Park Medical Group, PA located?

Columbia Park Medical Group, PA is located at 4000 Central Ave NE, Columbia Heights, MN 55421. The listed phone number is (763) 572-5710.

What is Columbia Park Medical Group, PA'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 Columbia Park Medical Group, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.