Organization
DINKYTOWN OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY ZIDEL (OWNER)
(612) 331-7100
Entity
Organization
Contact information
Practice address
1304 4TH ST SE, MINNEAPOLIS, MN 55414-2029
(612) 331-7100
(612) 331-7100
Mailing address
1304 4TH ST SE, MINNEAPOLIS, MN 55414-2029
(612) 331-7100
(612) 331-7100
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001127
PREFERRED ONE
MN
01
—
13307PA
BCBS OF MN
MN
Enumeration date
01/25/2007
Last updated
08/22/2020
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