Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
EYE KLINIC INC
Active
Organization
EYE KLINIC INC
Active
Other names
eyeklinic of edinburgh
Organization subpart
No
Provider details
NPI number
Authorized official
JOSAN W. T. KO (CEO)
(763) 315-0909
Entity
Organization
Contact information
Practice address
4620 OAK GROVE PKWY N, BROOKLYN PARK, MN 55443-4062
(763) 315-0909
Mailing address
4620 OAK GROVE PKWY N, BROOKLYN PARK, MN 55443-4062
(763) 315-0909
(763) 315-0203
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MN2869
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181414
UCARE MINNESOTA
MN
01
—
191361040082
PREFERRED ONE
MN
01
—
19981
NVA
MN
01
—
21-00588
MEDICA
MN
01
—
26833
SPECTERA
MN
01
—
35135
AVESIS
MN
05
—
822081600
—
MN
01
—
9529921700
PATIENT CHOICE
MN
01
—
958S7EY
BCBSM
MN
01
—
J52607
DAVIS VSION
MN
01
—
MN02869
VBA
MN
Enumeration date
11/30/2006
Last updated
03/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up