| |
471 Railroad Ave, Albany, MN 56307-9458 | |
(320) 845-4747 | |
(320) 845-4885 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 471 Railroad Ave, Albany, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326159476 | NPI | - | NPPES |
115186 | Other | MN | UCARE PROV. NUMBER |
5C705GR | Other | MN | BLUE PLUS MATERIAL PROV. |
21-00018 | Other | MN | MEDICA MATERIALS PROV. NU |
380225600 | Medicaid | MN | |
47576 | Other | MN | HEALTHPARTNERS PROV. NUM |
1006663 | Other | MN | PREFERRED ONE PROV. NUM |
MN2082 | Other | MN | EYEMED PROV. NUMBER |
410031767 | Other | MN | RAILROAD MEDICARE PROV. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | MN2082 (Minnesota) | Primary |
Provider Name | Ricky F Groetsch |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366456014 PECOS PAC ID: 5597852517 Enrollment ID: I20071107000339 |
Mailing Address | Practice Location Address |
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471 Railroad Ave, Albany, MN 56307-9458 Ph: (320) 845-4747 | 471 Railroad Ave, Albany, MN 56307-9458 Ph: (320) 845-4747 |