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FIFTH AVENUE OPTICAL
NPI 1821243239
Eyewear Supplier in Edina, MN

Active since November 26, 2008
3540 GALLERIA, EDINA, MN 55435(952) 922-1052(952) 922-2518 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fifth Avenue Optical NPPES

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

FIFTH AVENUE OPTICAL (NPI 1821243239) is a healthcare organization registered as an eyewear supplier in Edina, Minnesota and active in the NPI registry since November 2008. The organization lists Gale L Stead, Owner, as its authorized official.

NPPES Registry Identity

NPI1821243239
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameFIFTH AVENUE OF EDINA INC.
Location Address3540 GALLERIAEdina, MN 55435-4218
Mailing Address3540 GalleriaEdina, MN 55435-4218 · (952) 922-1052 · Fax (952) 922-2518
Phone(952) 922-1052
Fax(952) 922-2518
Organization SubpartNo
Authorized OfficialGale L SteadOwner · (952) 922-1052
Enumeration DateNovember 26, 2008
Last NPPES UpdateJune 13, 2012
✔ NPI 1821243239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in MN · 1456
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometristTaxonomy 152W00000X · License 1456 (MN)
3540 GALLERIA, Edina, MN 55435
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Other Names 1

Other NameFifth Avenue Optical

Other Identifiers 2

Medicare NSC0480220001MN
Medicare PINC05969

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 Fifth Avenue Of Edina Inc.'s NPI number?

The NPI number for Fifth Avenue Of Edina Inc. is 1821243239. It was assigned to this organization in the NPPES registry on November 26, 2008. The provider is also known as Fifth Avenue Optical.

Where is Fifth Avenue Of Edina Inc. located?

Fifth Avenue Of Edina Inc. is located at 3540 Galleria, Edina, MN 55435. The listed phone number is (952) 922-1052.

What is Fifth Avenue Of Edina Inc.'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 Fifth Avenue Of Edina Inc. was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.