Annandale Eye Clinic | |
500 Elm St E, Annandale, MN 55302 | |
(320) 274-3701 | |
(320) 274-3784 |
Full Name | Annandale Eye Clinic |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 500 Elm St E, Annandale, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629148614 | NPI | - | NPPES |
230R3TA | Other | MN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1765 (Minnesota) | Primary |
Provider Name | Terrence L Tancabel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861468670 PECOS PAC ID: 9133128572 Enrollment ID: I20061212000286 |
Provider Name | Katie N Tancabel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376704940 PECOS PAC ID: 7416021399 Enrollment ID: I20080811000747 |
Provider Name | Blake Kvidt |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740779388 PECOS PAC ID: 9638427131 Enrollment ID: I20190402000242 |
Provider Name | Anna Claire Aho |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518537786 PECOS PAC ID: 4183028798 Enrollment ID: I20210804001425 |
Mailing Address | Practice Location Address |
---|---|
Annandale Eye Clinic Po Box 128, Annandale, MN 55302-0128 Ph: (320) 274-3701 | Annandale Eye Clinic 500 Elm St E, Annandale, MN 55302 Ph: (320) 274-3701 |
Katie Nicole Tancabel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Elm St E, Annandale, MN 55302 Phone: 320-274-3701 Fax: 320-274-3784 | |
Anna Claire Aho, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Elm St E, Annandale, MN 55302 Phone: 370-132-0274 |