Fairview Express Care
Organization Active NPI Eyewear Supplier · Brooklyn Park, MN
NPI 1841472644 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1841472644
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- FAIRVIEW EXPRESS CARE
- Practice address
- 10000 Zane Ave N
Brooklyn Park, MN 55443-1400 - Phone
- (763) 572-5700
- Fax
- (763) 569-6200
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Maureen V Ring
- Title
- Sys Dir Govt Reimb & Netwk Rel
- Phone
- (612) 672-6740
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 19
Practitioners 1,972
-
Allison E Ackmann, MA, CCC-SLP
-
Jeremy Russell Allred, M.D.
-
Bishop C Anyiwe, PA-C
-
Lucy D Bernhoft Bediako, MPH, PA-C
-
Stuart Hunegs Bloom, M.D.
-
Lynanne Evenson, LMFT, LADC
-
Curtis Jacob Hanba, M.D.
-
Gregory Helmer, M.D.
-
Samuel Jang, MD
-
Kelle Anne Kasner, LMFT
-
Tyler Kemnitz, PT
-
Jorge A Leon, MD
-
Justin Nelson, M.D.
-
Drew A Rosielle, MD
-
Pritha Roy, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081028000548 | MN | Part B Supplier - Clinic/Group Practice | 3375645179 |
Receives reassigned benefits from 4,146 practitioners This NPI is an additional NPI on the enrollment |
| O20220221001809 | MN | DME Supplier - Physician - Optometrist | 3375645179 | Practice locations: Brooklyn Park, MN |
National Provider Directory
- Tax ID family
- Fairview Express Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
10000 Zane Ave N
Brooklyn Park, MN 55443-1400
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 819418000 | Medicaid | MN | |
| 02071BR | Other | MN | BCBS DME NUMBER |
Other names
- M Health Fairview Clinic - Brooklyn Park
Other providers in Brooklyn Park, MN
- Fairhavens Home Care
- Fairhavens Home Care LLC
- Fairview Clinics
- Fairview Express Care
- Fairview Express Care
- Fairview Pharmacy Services LLC
- Faith Health Care Services Inc
- Alyssa Falleni
- Fantum Home Health Care LLC
- Abdullahi Mohamed Farah
All providers in Brooklyn Park, MN · Eyewear Supplier in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.