Bryce D Sealock, OD | |
4455 Highway 169 N, Plymouth, MN 55442-2897 | |
(763) 559-7358 | |
(763) 559-6010 |
Full Name | Bryce D Sealock |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 4455 Highway 169 N, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831829100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3797 (Minnesota) | Primary |
Provider Name | Don Sealock Od Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497785620 PECOS PAC ID: 5092755215 Enrollment ID: O20050506000613 |
Provider Name | Hometown Eye Care, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841221785 PECOS PAC ID: 8729020102 Enrollment ID: O20050525000999 |
Mailing Address | Practice Location Address |
---|---|
Bryce D Sealock, OD 4455 Highway 169 N, Plymouth, MN 55442-2897 Ph: (763) 559-7358 | Bryce D Sealock, OD 4455 Highway 169 N, Plymouth, MN 55442-2897 Ph: (763) 559-7358 |
Grant Sealock, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 Fax: 763-559-2167 | |
Kenndy Vision Health Center Optometrist Medicare: Medicare Enrolled Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257 | |
John Mueller Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4190 Vinewood Ln N Ste 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122 | |
Nicole Ann Solem, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 | |
Dr. Kelsey Moore, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257 | |
Visionsmith Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4190 Vinewood Ln N, Suite 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122 | |
Dr. Nadia Siddiqi Khan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3007 Harbor Ln N Ste 1500, Plymouth, MN 55447 Phone: 763-559-4669 Fax: 763-559-4767 |