Healthcare Provider Details

I. General information

NPI: 1679413207
Provider Name (Legal Business Name): GLASSES MINNESOTA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14837 MAYWOOD DR
BURNSVILLE MN
55306-6324
US

IV. Provider business mailing address

2807 S STUART ST
DENVER CO
80236-2145
US

V. Phone/Fax

Practice location:
  • Phone: 712-380-3434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW ASMAN
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 712-380-3434