NORTHWEST EYE CLINIC, LLC
NPI 1992044432
Ophthalmology in Golden Valley, MN

Q: What is Northwest Eye Clinic, LLC's NPI number?

The NPI number for Northwest Eye Clinic, LLC is 1992044432. It was assigned to this organization in the NPPES registry on February 4, 2013.

Q: What is Northwest Eye Clinic, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since February 04, 2013

8501 GOLDEN VALLEY RD STE 100, GOLDEN VALLEY, MN 55427(763) 416-7600(763) 416-7634 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2020, Jun 12, 2019, Aug 31, 2018 (3 updates tracked since 2018).

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About Northwest Eye Clinic, Llc NPPES

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

NORTHWEST EYE CLINIC, LLC (NPI 1992044432) is a healthcare organization registered as an ophthalmology in Golden Valley, Minnesota and active in the NPI registry since February 2013. The organization lists Kelly Pettengill, Credentialing And Data Management, as its authorized official.

NPPES Registry Identity

NPI1992044432

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameNORTHWEST EYE CLINIC, LLC

Location Address8501 GOLDEN VALLEY RD STE 100Golden Valley, MN 55427-4472

Mailing Address8401 Golden Valley Rd Ste 330Golden Valley, MN 55427-4488 · (763) 416-7629 · Fax (763) 383-4147

Phone(763) 416-7600

Fax(763) 416-7634

Organization SubpartNo

Authorized OfficialKelly PettengillCredentialing And Data Management · (763) 416-7629

Enumeration DateFebruary 4, 2013

Last NPPES UpdateMarch 18, 20203 updates tracked since enumeration

NPPES CertifiedMarch 18, 2020

✔ NPI 1992044432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MN · 360

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

8501 GOLDEN VALLEY RD STE 100, Golden Valley, MN 55427

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 12

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

DISTINCTIVE EYEWEAR, LLC

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