Azure Vision Care | |
340 Fox Street, Perham, MN 56573-1733 | |
(218) 346-3310 | |
(218) 346-3310 |
Full Name | Azure Vision Care |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 340 Fox Street, Perham, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407960651 | NPI | - | NPPES |
299206000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | William J Hartman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639183734 PECOS PAC ID: 7911985833 Enrollment ID: I20040708000647 |
Provider Name | Jeffrey L Mackner |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598789893 PECOS PAC ID: 6507835667 Enrollment ID: I20040930000140 |
Provider Name | Timothy C Neitzke |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033133517 PECOS PAC ID: 9133107089 Enrollment ID: I20100814000243 |
Provider Name | Kathryn Rose Olson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336556091 PECOS PAC ID: 8628295664 Enrollment ID: I20140814001281 |
Provider Name | Joshua Landon Mackner |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346813276 PECOS PAC ID: 7618344326 Enrollment ID: I20221109003169 |
Mailing Address | Practice Location Address |
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Azure Vision Care 652 Jefferson Street, Wadena, MN 56482-2307 Ph: (218) 631-1456 | Azure Vision Care 340 Fox Street, Perham, MN 56573-1733 Ph: (218) 346-3310 |
Dr. Timothy Charles Neitzke, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 340 Fox St, Perham, MN 56573 Phone: 218-346-3310 Fax: 218-346-9064 | |
Dr. Corey Becker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 222 Market Dr, Perham, MN 56573 Phone: 218-346-3073 Fax: 218-346-3074 | |
Kathryn Rose Olson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 340 Fox St, Perham, MN 56573 Phone: 218-346-3310 Fax: 218-346-9064 | |
Lakes Family Eyecare, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 235 W Main St, Perham, MN 56573 Phone: 701-346-3073 Fax: 701-346-3074 | |
Lakes Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 222 Market Dr, Perham, MN 56573 Phone: 218-346-3073 Fax: 218-346-3074 |