Apolade Inc

Optometrist · Maple Grove, MN

Organization Active NPI

NPI number 1740313824

Practice location

11330 Fountains Dr
Maple Grove, MN 55369-7200
Phone
(763) 494-8063
Fax
(763) 494-8062

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NPI record

NPI
1740313824
Entity type
Organization (Type 2)
Enumeration date
March 14, 2007
Last updated
December 11, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 2827 MN

Mailing address

720 N 4TH St Unit 704
Minneapolis, MN 55401-1950
Phone
(612) 743-1400

Authorized official

Name
Mr. Tim J Nelson, O.D.
Title
President
Phone
(612) 743-1400

Other names

  • Costco Optical

About Apolade Inc

Apolade Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 11330 Fountains Dr, Maple Grove, MN 55369-7200. The NPI number 1740313824 was assigned on March 14, 2007 and the record was last updated on December 11, 2018.

Apolade Inc lists a license in the registry: #2827 (MN) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Tim J Nelson, O.D., President.

Frequently asked questions

What is the NPI number of Apolade Inc?

The NPI number is 1740313824.

What is the phone number of Apolade Inc?

The phone number listed for the practice location is (763) 494-8063.

Where is Apolade Inc located?

11330 Fountains Dr, Maple Grove, MN 55369-7200.

What is the taxonomy code for Apolade Inc?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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