MAPLE GROVE EYE CLINIC
NPI 1659556264
Eyewear Supplier in Maple Grove, MN

Active since January 02, 2008
7880 MAINSTREET, MAPLE GROVE, MN 55369(763) 420-6981(763) 773-7253 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maple Grove Eye Clinic NPPES

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

MAPLE GROVE EYE CLINIC (NPI 1659556264) is a healthcare organization registered as an eyewear supplier in Maple Grove, Minnesota and active in the NPI registry since January 2008. The organization lists Alissa Lindstrom, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1659556264
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameG.R. THOMAS JR OD PA
Location Address7880 MAINSTREETMaple Grove, MN 55369-7081
Mailing Address7880 Main St NMaple Grove, MN 55369-7081 · (763) 420-6981 · Fax (763) 773-7253
Fax(763) 773-7253
Organization SubpartNo
Authorized OfficialAlissa LindstromInsurance Coordinator · (763) 420-6981
Enumeration DateJanuary 2, 2008
Last NPPES UpdateMarch 4, 2011
NPI 1659556264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometristTaxonomy 152W00000X · License 1457 (MN)
7880 MAINSTREET, Maple Grove, MN 55369

Other Names 1

Doing Business AsMaple Grove Eye Clinic

Other Identifiers 4

Medicaid652323400MN
Medicare NSC0249030001
Medicare UPINT39345MN
Medicare PINC01951MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 G.R. Thomas Jr Od PA's NPI number?

The NPI number for G.R. Thomas Jr Od PA is 1659556264. It was assigned to this organization in the NPPES registry on January 2, 2008. The provider is doing business as Maple Grove Eye Clinic.

Where is G.R. Thomas Jr Od PA located?

G.R. Thomas Jr Od PA is located at 7880 Mainstreet, Maple Grove, MN 55369. The listed phone number is (763) 420-6981.

What is G.R. Thomas Jr Od 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 G.R. Thomas Jr Od PA was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.