OrganizationActive
F & G Optical Inc
NPI 1679643100 · Optometrist · Wayzata, MN
Provider details
- NPI number
- 1679643100
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Virginia Domain, Cfo(952) 476-4185
Specialties & taxonomies
Eye and Vision Services Providers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
852 Lake St E
Unit a
Wayzata, MN 55391-4523
Phone: (952) 476-4185
Fax: (952) 476-8812
Street-level locationGet directions
Mailing address
852 Lake St E
Wayzata, MN 55391-4526
Other names (DBA / former)
- Doing business as
- Latham Optical
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2013-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.