Diabetic Shoe Source
Durable Medical Equipment & Medical Supplies
2121 Cliff Dr Ste 118, Eagan
Minnesota, 55122-3431
763-757-8086 763-862-4797
Diabetic Shoe Source is a Durable Medical Equipment & Medical Supplies in Eagan, Minnesota. It is located at 2121 Cliff Dr Ste 118, Eagan and it's customer support contact number is 763-757-8086. The authorized person of Diabetic Shoe Source is Amy Luzaich, CFTS who is President of this DME and his contact number is 763-757-8086.
Diabetic Shoe Source is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Diabetic Shoe Source type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Diabetic Shoe Source |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 2121 Cliff Dr Ste 118, Eagan,
Minnesota, 55122-3431 |
| Phone: | 763-757-8086 |
| Fax: | 763-862-4797 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Amy Luzaich |
| Credentials: | CFTS |
| Position: | President |
| Contact Number: | 763-757-8086 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1003960147 |
| NPI Enumeration Date: | 23 Jan, 2007 |
| NPI Last Update On: | 21 Oct, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Diabetic Shoe Source are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 786A6DI | Other | Minnesota | Bcbs |
| 520052200 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2121 Cliff Dr Ste 118,
Eagan, Minnesota |
| Zip: | 55122-3431 |
| Phone Number: | 763-757-8086 |
| Fax Number: | 763-862-4797 |
Patients can reach Diabetic Shoe Source at
2121 Cliff Dr Ste 118, Eagan, Minnesota or can
call on customer care at 763-757-8086.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.