| Benjamin Michalicek, | |
|
6936 Pine Arbor Dr S Ste 110, Cottage Grove, MN 55016-4672 | |
| (651) 769-1020 | |
| Not Available |
| Full Name | Benjamin Michalicek |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 6936 Pine Arbor Dr S Ste 110, Cottage 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 |
|---|---|---|---|
| 1396323176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3969 (Wisconsin) | Secondary |
| 152W00000X | Optometrist | 3802 (Minnesota) | Primary |
| Provider Name | Bieter Eye Center Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497792758 PECOS PAC ID: 5395756407 Enrollment ID: O20060605000027 |
| Provider Name | Hadden Eyecare Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992991426 PECOS PAC ID: 5597829630 Enrollment ID: O20090204000223 |
| Provider Name | Eye Care Associates Of Sc Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679046569 PECOS PAC ID: 4587998802 Enrollment ID: O20220127003028 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Michalicek, 6936 Pine Arbor Dr S Ste 110, Cottage Grove, MN 55016-4672 Ph: (651) 769-1020 | Benjamin Michalicek, 6936 Pine Arbor Dr S Ste 110, Cottage Grove, MN 55016-4672 Ph: (651) 769-1020 |
Optometric Physicians Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9300 E Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-846-2836 Fax: 952-400-4207 | |
Dr. Taylor Marie Wolke, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8617 W Point Douglas Rd S Ste 110, Cottage Grove, MN 55016 Phone: 651-769-1020 | |
Bruce D Babcock, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8611 W Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-458-1884 | |
Dr. Sheri J. Hibbett, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8617 W Point Douglas Rd S, Suite #110, Cottage Grove, MN 55016 Phone: 651-769-1020 Fax: 651-769-1021 | |
Premier Eye Care, Cottage Grove Optometrist Medicare: Medicare Enrolled Practice Location: 6936 Pine Arbor Dr S Ste 110, Cottage Grove, MN 55016 Phone: 651-769-1020 Fax: 651-769-1021 | |
Dr. Kristel Ann Rogers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6936 Pine Arbor Dr S Ste 110, Cottage Grove, MN 55016 Phone: 651-769-1020 Fax: 615-769-1021 |