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Distinctive Eyewear, LLC — NPI 1457690133, Golden Valley, MN | NPI Central

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NPI 1457690133

OrganizationActive

Distinctive Eyewear, LLC

NPI 1457690133 · Optician · Golden Valley, MN

Provider details

NPI number: 1457690133
Entity type: Organization
Primary specialty: OpticianEye and Vision Services Providers
Authorized official: Kelly Pettengill, Credentialing and Data Management

Practice location

8501 Golden Valley Rd Ste 100

Golden Valley, MN 55427-4472

Phone: (763) 416-7655

Fax: (763) 416-7634

More MN providers

Mailing address

8401 Golden Valley Rd Ste 330

Golden Valley, MN 55427-4488

Registry dates

Enumerated: 2013-01-31
Last updated: 2020-03-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.