Distinctive Eyewear, Llc
Eyewear Supplier
About Distinctive Eyewear, Llc
Distinctive Eyewear, Llc is a healthcare organization providing Eyewear Supplier services, registered under National Provider Identifier (NPI) number 1043392632. The authorized official for Distinctive Eyewear, Llc is KELLY PETTENGILL.
The organization is headquartered at 12000 ELM CREEK BLVD N STE 100, Maple Grove, Minnesota 55369. The main office can be reached at (763) 416-7653. Distinctive Eyewear, Llc has been NPI-registered since 2006.
Locations & Contact
Primary Location
- Address
- 12000 ELM CREEK BLVD N STE 100
- City
- Maple Grove
- State
- Minnesota
- ZIP
- 55369-7074
- Phone
- (763) 416-7653
- Fax
- (763) 416-7634
Authorized Official
- Name
- KELLY PETTENGILL
Mailing Address
- Address
- 8401 GOLDEN VALLEY RD STE 330
- City
- GOLDEN VALLEY
- State
- MN
- ZIP
- 554274488
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Eyewear Supplier
- Classification
- Eyewear Supplier
- Taxonomy Code
- 332H00000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Distinctive Eyewear, Llc's NPI number?
What does Distinctive Eyewear, Llc specialize in?
Where is Distinctive Eyewear, Llc located?
Does Distinctive Eyewear, Llc accept Medicare?
Does Distinctive Eyewear, Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Distinctive Eyewear, Llc holds NPI 1043392632, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.