Organization
FAIRVIEW EXPRESS CARE
Active
Other names
M Health Fairview Clinic - Fridley
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
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5700
(763) 586-5888
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126906
UCARE EYEWARE
MN
01
—
21-00011
EYECRAFT LAB
MN
01
—
21140
MEDICA EYEWARE
MN
01
—
5C734CO
BCBS EYEWARE
MN
Enumeration date
12/11/2007
Last updated
02/13/2025
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