Costco Optical in Maple Grove, MN - Medicare Optometrist Provider

Costco Optical is a medicare enrolled "Optometrist" provider in Maple Grove, Minnesota. Their current practice location is 11330 Fountains Dr, Maple Grove, Minnesota. You can reach out to their office (for appointments etc.) via phone at (763) 494-8063.

Costco Optical is licensed to practice in Minnesota (license number 2827) and it also participates in the medicare program. Costco Optical is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1740313824.

Contact Information

	Costco Optical
	11330 Fountains Dr, Maple Grove, MN 55369-7200
	(763) 494-8063
	(763) 494-8062

Map and Direction

Healthcare Provider's Profile

Full Name	Costco Optical
Type	Facility
Speciality	Optometrist
Location	11330 Fountains Dr, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740313824
Provider Enumeration Date: 03/14/2007
Last Update Date: 12/11/2018

Medicare PECOS Information:

PECOS PAC ID: 5294839304
Enrollment ID: O20070329000509

Medical Identifiers

Medical identifiers for Costco Optical such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740313824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2827 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Costco Optical acts as a billing entity for following providers:

Provider Name	Timothy J Nelson
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1215091616 PECOS PAC ID: 8628060548 Enrollment ID: I20040331001560

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Costco Optical is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Costco Optical 720 N 4th St Unit 704, Minneapolis, MN 55401-1950 Ph: (612) 743-1400	Costco Optical 11330 Fountains Dr, Maple Grove, MN 55369-7200 Ph: (763) 494-8063

Reviews and Comments

Optometrist in Maple Grove, MN

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
Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 7880 Main St N, Maple Grove, MN 55369 Phone: 763-420-6981 Fax: 763-773-7253
Maple Grove Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 9885 Maple Grove Parkway, Maple Grove, MN 55369 Phone: 952-807-4173

Costco Optical - Medicare Optometrist in Maple Grove, MN