Organization
FAIRVIEW EXPRESS CARE
Active
Other names
Fairview Andover Clinic (Eyewear), M Health Fairview Clinic - Andover
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN V RING (SYS DIR GOVT REIMB & NETWK REL)
(612) 672-6740
Entity
Organization
Contact information
Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(763) 572-5700
(763) 392-4052
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126908
UCARE EYEWARE
MN
01
—
21-00115
EYECRAFT LAB
MN
01
—
21181
MEDICA EYEWARE
MN
01
—
52Q42CO
BCBS EYEWARE
MN
Enumeration date
12/11/2007
Last updated
02/13/2025
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