Fifth Avenue Of Edina Inc. is a
Eyewear Supplier based in Edina, Minnesota. Fifth Avenue Of Edina Inc. is licensed to practice in Minnesota (license number 1456) and their current practice location is
3540 Galleria, Edina, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(952) 922-1052.
NPI number for Fifth Avenue Of Edina Inc. is 1821243239 and their current mailing address is 3540 Galleria, Edina, Minnesota. Fifth Avenue Of Edina Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1821243239.
Healthcare Provider's Profile
Full Name | Fifth Avenue Of Edina Inc. |
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Type | Facility |
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Speciality | Eyewear Supplier |
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Location | 3540 Galleria, Edina, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821243239
- Provider Enumeration Date: 11/26/2008
- Last Update Date: 06/13/2012
Medical Identifiers
Medical identifiers for Fifth Avenue Of Edina Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821243239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1456 (Minnesota) | Secondary |
332H00000X | Eyewear Supplier | 1456 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fifth Avenue Of Edina Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Fifth Avenue Of Edina Inc. 3540 Galleria, Edina, MN 55435-4218 Ph: (952) 922-1052 | Fifth Avenue Of Edina Inc. 3540 Galleria, Edina, MN 55435-4218 Ph: (952) 922-1052 |
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