Provider Demographics
NPI:1982590709
Name:ISIGHT FAMILY EYE CARE
Entity type:Organization
Organization Name:ISIGHT FAMILY EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-258-4781
Mailing Address - Street 1:1411 4TH ST SE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-2001
Mailing Address - Country:US
Mailing Address - Phone:763-258-4781
Mailing Address - Fax:612-455-6733
Practice Address - Street 1:1605 COUNTY ROAD C W
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1302
Practice Address - Country:US
Practice Address - Phone:651-631-8112
Practice Address - Fax:612-455-6733
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JN OPTICS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty