MEDICARE: MCGREEVY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	102433	OTHER	MN	UCARE
2	21161991	OTHER	MN	MEDICA
3	92237	OTHER	MN	PREFERRED ONE
4	09301PE	OTHER	MN	BLUE CROSS BLUE SHIELD
5	13390PE	OTHER	MN	BLUE CROSS BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528169661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCGREEVY INC

Provider Business Mailing Address
First Line	:	1 W LAKE ST STE 105
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-3362
Country	:	US
Telephone Number	:	612-827-3857
Fax Number	:	612-827-7204

Provider Business Practice Location Address
First Line	:	1 W LAKE ST STE 105
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-3362
Country	:	US
Telephone Number	:	612-827-3857
Fax Number	:	612-827-7204

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LYNN DO
Credential	:
Telephone Number	:	612-827-3857

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	06/15/2026

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Directions to “MCGREEVY INC ” Practice Location

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