Park Nicollet Health Care Products
NPI 1609838614 · Eyewear Supplier · St Louis Park, MN
Enrolled with Medicare as Dme Supplier - Optician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Park Nicollet Health Care Products is a Eyewear Supplier organization in St Louis Park, MN (NPI 1609838614).
Provider details
- NPI number
- 1609838614
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Park Nicollet
- Organization subpart
- Yes
- Authorized official
- Kristin Brey, Delegated Official(952) 993-6832
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Frequently asked questions
- What is Park Nicollet Health Care Products's NPI number?
- Park Nicollet Health Care Products's National Provider Identifier (NPI) is 1609838614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Nicollet Health Care Products?
- Park Nicollet Health Care Products is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Park Nicollet Health Care Products located?
- Park Nicollet Health Care Products's practice location on file with NPPES is Eye Care and Optical Store, St Louis Park, MN 55416-2503.
- What is Park Nicollet Health Care Products's phone number?
- The practice phone number listed in the NPPES registry for Park Nicollet Health Care Products is (952) 993-3150.
- Does Park Nicollet Health Care Products accept Medicare?
- Park Nicollet Health Care Products is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Park Nicollet Health Care Products?
- The authorized official listed on Park Nicollet Health Care Products's NPPES record is Kristin Brey, Delegated Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Nicollet Health Care Products's NPI active?
- Yes — Park Nicollet Health Care Products's NPI (1609838614) is active in the NPPES registry as of the last update on 2025-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.