| Bass Lake Family Eye Care Inc. | |
|
12750 Bass Lake Rd, Maple Grove, MN 55369-6307 | |
| (763) 553-1811 | |
| (763) 553-0131 |
| Full Name | Bass Lake Family Eye Care Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 12750 Bass Lake Rd, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962762039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2168 (Minnesota) | Primary |
| Provider Name | Michelle M Martin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386652907 PECOS PAC ID: 9830289040 Enrollment ID: I20071212000113 |
| Provider Name | Rosamond H Tedesco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548469737 PECOS PAC ID: 8820169949 Enrollment ID: I20080618000082 |
| Provider Name | Brad A Weeks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073694873 PECOS PAC ID: 4183863533 Enrollment ID: I20130617000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Bass Lake Family Eye Care Inc. 12750 Bass Lake Rd, Maple Grove, MN 55369-6307 Ph: (763) 553-1811 | Bass Lake Family Eye Care Inc. 12750 Bass Lake Rd, Maple Grove, MN 55369-6307 Ph: (763) 553-1811 |
Scott A Frick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13645 Grove Dr N, Maple Grove, MN 55311 Phone: 763-420-8030 Fax: 763-420-9842 | |
Tlc Of The Twin Cities Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11330 Fountains Dr, Maple Grove, MN 55369 Phone: 763-494-8061 | |
Dr. Kelly Crenna, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 13195 Weaver Lake Rd, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957 | |
Renee M Ritzer, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13195 Weaver Lake Road, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957 | |
Dr. Brad Alan Weeks, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 12750 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-553-1811 Fax: 763-553-0131 | |
Maple Grove Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 9885 Maple Grove Parkway, Maple Grove, MN 55369 Phone: 952-807-4173 |