Fairview Specialty Services

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

FAIRVIEW SPECIALTY SERVICES

Practice address

2450 Riverside Ave
Minneapolis, MN 55454-1450

Phone

(855) 324-7843

NPI assigned

Aug 29, 2025

Organization subpart

No

Name

Joseph Charles Gaylord

Title

Chief Financial Officer

Phone

(612) 672-6119

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Fairview Specialty Services

  • Physical Therapy Clinic/Center
  • Minneapolis, MN
  • NPI 1043199334

  O20260529000323

  Same enrollment
• Fairview Specialty Services

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1174494827

  O20260529000323

  Same enrollment
• Fairview Specialty Services

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1588543862

  O20260529000323

  Same enrollment
• Fairview Specialty Services

  • Point of Service
  • Saint Paul, MN
  • NPI 1912066218

  O20260529000323

  Same enrollment
• Fairview Specialty Services

  • Diagnostic Radiology Physician
  • Saint Paul, MN
  • NPI 1932059110

  O20260529000323

  Same enrollment

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Fairview Specialty Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Fairview Specialty Services

  • Physical Therapy Clinic/Center
  • Minneapolis, MN
  • NPI 1043199334
  NPD tax ID
• Fairview Specialty Services

  • Eyewear Supplier
  • Minneapolis, MN
  • NPI 1083585731
  NPD tax ID
• Fairview Specialty Services

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1174494827
  NPD tax ID
• Fairview Specialty Services

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1588543862
  NPD tax ID
• Fairview Specialty Services

  • Diagnostic Radiology Physician
  • Saint Paul, MN
  • NPI 1932059110
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2025.

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1508745886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "855-324-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW SPECIALTY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "GAYLORD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "612-672-6119"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairview Pharmacy Services LLC
• Fairview Pharmacy Services, LLC
• Fairview Specialty Services
• Fairview Specialty Services
• Fairview Specialty Services
• Fairview Specialty Services
• Nauroze Asghar Faizi, M.D.
• Khadija Abdiaziz Fakrudin
• Kari Lynn Falaas
• Mary-Anne Falade

• All providers in Minneapolis, MN
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.