Avera Medical Group Optometry Mountain Lake is a
Optometrist based in Mountain Lake, Minnesota. Avera Medical Group Optometry Mountain Lake is licensed to practice in Minnesota (license number ) and their current practice location is
1040 3rd Ave, Mountain Lake, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(507) 427-2345.
NPI number for Avera Medical Group Optometry Mountain Lake is 1508177890 and their current mailing address is 1040 3rd Ave, Mountain Lake, Minnesota. Avera Medical Group Optometry Mountain Lake
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1508177890.
Healthcare Provider's Profile
| Full Name | Avera Medical Group Optometry Mountain Lake |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1040 3rd Ave, Mountain Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508177890
- Provider Enumeration Date: 07/01/2010
- Last Update Date: 12/02/2022
Medical Identifiers
Medical identifiers for Avera Medical Group Optometry Mountain Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508177890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (Minnesota) | Primary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Avera Medical Group Optometry Mountain Lake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Avera Medical Group Optometry Mountain Lake
1040 3rd Ave,
Mountain Lake, MN 56159-1587
Ph: (507) 427-2345 | Avera Medical Group Optometry Mountain Lake
1040 3rd Ave,
Mountain Lake, MN 56159-1587
Ph: (507) 427-2345 |
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