BROOKLYN PARK - EYEWARE
NPI 1760589170
Eyewear Supplier in Brooklyn Park, MN

Q: What is Columbia Park Medical Group, PA's NPI number?

The NPI number for Columbia Park Medical Group, PA is 1760589170. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is also known as Brooklyn Park - Eyeware.

Q: What is Columbia Park Medical Group, PA's specialty?

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

Active since September 20, 2006

10000 ZANE AVE N, BROOKLYN PARK, MN 55443(763) 572-5710(763) 569-6200 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brooklyn Park - Eyeware NPPES

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

BROOKLYN PARK - EYEWARE (NPI 1760589170) is a healthcare organization registered as an eyewear supplier in Brooklyn Park, Minnesota and active in the NPI registry since September 2006. The organization lists Joen V Condon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1760589170

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameCOLUMBIA PARK MEDICAL GROUP, PA

Location Address10000 ZANE AVE NBrooklyn Park, MN 55443-1400

Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008

Phone(763) 572-5710

Fax(763) 569-6200

Organization SubpartYes

Authorized OfficialJoen V CondonChief Financial Officer · (763) 586-5839

Enumeration DateSeptember 20, 2006

Last NPPES UpdateNovember 13, 2007

✔ NPI 1760589170 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.

10000 ZANE AVE N, Brooklyn Park, MN 55443

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Other Names 1

Other NameBrooklyn Park - Eyeware

Other Identifiers 4

Other5C727COMN · Bcbs Eyeware

Other08316MN · Medica Eyeware

Other21-08316MN · Eyecraft Lab

Other102326MN · Ucare 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.

HILARY G WILDE RD, CDE

Dietitian, Registered