| |
814 Clearwater Ctr, Clearwater, MN 55320 | |
(320) 558-9403 | |
(320) 558-4583 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 814 Clearwater Ctr, Clearwater, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497817928 | NPI | - | NPPES |
08975 | Other | MN | SPECTERA |
65846 | Other | MN | HEALTH PARTNERS |
2211986 | Other | MN | MEDICA |
73D82CL | Other | MN | BLUE CROSS BLUE SHIELD |
118493 | Other | MN | EYEMED |
73D83VR | Other | MN | BLUE CROSS BLUE SHIELD |
0730002 | Other | MN | PREFERRED ONE |
1309020001 | Other | MN | MEDICARE SUPPLIER |
9821216 | Other | MN | MEDICA |
2121216 | Other | MN | MEDICA |
410048698 | Other | MN | RAILROAD MEDICARE |
682225800 | Medicaid | MN | |
75D85CL | Other | MN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2281 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 275, Clearwater, MN 55320-0275 Ph: (320) 558-9403 | 814 Clearwater Ctr, Clearwater, MN 55320 Ph: (320) 558-9403 |