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ANDOVER OPTICAL INC
NPI 1972663383
Technician/Technologist - Contact Lens Fitter in Andover, MN

Active since December 08, 2006
13855 ROUND LAKE BLVD NW, ANDOVER, MN 55304(763) 421-0141(763) 421-0334 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andover Optical Inc NPPES

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

ANDOVER OPTICAL INC (NPI 1972663383) is a healthcare organization registered as a contact lens fitter in Andover, Minnesota and active in the NPI registry since December 2006. The organization lists Laine Sangren, Vice Pres, as its authorized official.

NPPES Registry Identity

NPI1972663383
Entity TypeOrganization
Primary Taxonomy156FC0801X
Legal Business NameANDOVER OPTICAL INC
Location Address13855 ROUND LAKE BLVD NWAndover, MN 55304-3664
Mailing Address13855 Round Lake Blvd NwAndover, MN 55304-3664 · (763) 421-0141 · Fax (763) 421-0334
Phone(763) 421-0141
Fax(763) 421-0334
Organization SubpartNo
Authorized OfficialLaine SangrenVice Pres · (763) 421-0141
Enumeration DateDecember 8, 2006
Last NPPES UpdateFebruary 6, 2008
✔ NPI 1972663383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyTechnician/Technologist · Contact Lens FitterEye and Vision Services Providers
Taxonomy Code156FC0801X
Definition

A fitter contact lens optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

Also ListedTechnician/Technologist · Contact LensTaxonomy 156FC0800X
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
13855 ROUND LAKE BLVD NW, Andover, MN 55304
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Other Identifiers 6

Other114915MN · Ucare
Other16125MN · Health Partners
Other2115818MN · Medica
Other10294ANMN · Bcbs
Other747001MN · Preferredone
Medicare ID-Type Unspecified06954600MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY E SMITH OD
Optometrist
13855 ROUND LAKE BLVD NW
ANDOVER, MN 55304
Anoka County (763) 421-0141
DON J HERVE, O.D., P.C.
Optometrist
13855 ROUND LAKE BLVD NW
ANDOVER, MN 55304
Anoka County (763) 421-0141

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 Andover Optical Inc's NPI number?

The NPI number for Andover Optical Inc is 1972663383. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Andover Optical Inc located?

Andover Optical Inc is located at 13855 Round Lake Blvd NW, Andover, MN 55304. The listed phone number is (763) 421-0141.

What is Andover Optical Inc's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Contact Lens Fitter, with taxonomy code 156FC0801X.

When was this NPI record last updated?

The NPPES record for Andover Optical Inc was last updated on February 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.