Barrett Wingard, OD | |
13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 | |
(717) 873-5019 | |
Not Available |
Full Name | Barrett Wingard |
---|---|
Gender | Male |
Speciality | Optometrist - Corneal And Contact Management |
Location | 13195 Weaver Lake Rd, Maple Grove, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932721214 | NPI | - | NPPES |
3776 | Other | MN | OPTOMETRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 3776 (Minnesota) | Primary |
Provider Name | Brokea Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346453735 PECOS PAC ID: 9537328075 Enrollment ID: O20120405000013 |
Mailing Address | Practice Location Address |
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Barrett Wingard, OD 770 Sunlight Dr, York, PA 17402-9217 Ph: (717) 873-5019 | Barrett Wingard, OD 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 Ph: (717) 873-5019 |
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