OrganizationActive
Southdale Optical Co
NPI 1871576306 · Eyewear Supplier · Edina, MN
Southdale Optical Co is a Eyewear Supplier organization in Edina, MN (NPI 1871576306).
Provider details
- NPI number
- 1871576306
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bradley Peterson, President(952) 925-9550
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
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
6533 Drew Ave S
Edina, MN 55435-2103
Phone: (952) 925-9550
Fax: (952) 925-9748
Street-level locationGet directions
Mailing address
6533 Drew Ave S
Edina, MN 55435-2103
Registry dates
- Enumerated
- 2005-11-29
- Last updated
- 2009-06-16
Frequently asked questions
- What is Southdale Optical Co's NPI number?
- Southdale Optical Co's National Provider Identifier (NPI) is 1871576306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southdale Optical Co?
- Southdale Optical Co is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Southdale Optical Co located?
- Southdale Optical Co's practice location on file with NPPES is 6533 Drew Ave S, Edina, MN 55435-2103.
- What is Southdale Optical Co's phone number?
- The practice phone number listed in the NPPES registry for Southdale Optical Co is (952) 925-9550.
- Who is the authorized official for Southdale Optical Co?
- The authorized official listed on Southdale Optical Co's NPPES record is Bradley Peterson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southdale Optical Co's NPI active?
- Yes — Southdale Optical Co's NPI (1871576306) is active in the NPPES registry as of the last update on 2009-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.