Alyssa Judell Richard, OD | |
2180 Troop Dr, Sartell, MN 56377-4582 | |
(320) 258-3915 | |
Not Available |
Full Name | Alyssa Judell Richard |
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Gender | Female |
Speciality | Optometrist |
Location | 2180 Troop Dr, Sartell, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699466284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3859 (Minnesota) | Primary |
Provider Name | Pinecone Vision Center, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790830701 PECOS PAC ID: 6800786906 Enrollment ID: O20040319000822 |
Provider Name | Mlp Optometry |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801454608 PECOS PAC ID: 3870820814 Enrollment ID: O20190813003175 |
Mailing Address | Practice Location Address |
---|---|
Alyssa Judell Richard, OD 2841 Red Oak Ln, Monticello, MN 55362-9501 Ph: (763) 486-2609 | Alyssa Judell Richard, OD 2180 Troop Dr, Sartell, MN 56377-4582 Ph: (320) 258-3915 |
Kelly Noel Freese, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2380 Troop Dr, Suite201, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Dr. Joseph Jerome Allen, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Sydney Athmann, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Trevor J Fosso, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Hunter Riley Throndsen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 | |
Dr. Nicholas Colatrella, O.D. FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Pinecone Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2180 Troop Drive, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 |