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5585 La Centre Ave, Suite 400, Albertville, MN 55301-4687 | |
(763) 497-2115 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 5585 La Centre Ave, Albertville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336448034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 3032 (Minnesota) | Primary |
Provider Name | Thomas R Schwartz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548352560 PECOS PAC ID: 4688721400 Enrollment ID: I20110713000583 |
Mailing Address | Practice Location Address |
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5585 La Centre Ave, Suite 400, Albertville, MN 55301-4687 Ph: (763) 497-2115 | 5585 La Centre Ave, Suite 400, Albertville, MN 55301-4687 Ph: (763) 497-2115 |