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216 S Main St, Crookston, MN 56716-1939 | |
(218) 281-2020 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 216 S Main St, Crookston, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740567494 | NPI | - | NPPES |
6691490001 | Other | MN | DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2964 (Minnesota) | Primary |
Provider Name | Matthew C Forgit |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427114214 PECOS PAC ID: 1658348685 Enrollment ID: I20040910000434 |
Provider Name | Angela S Smith |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457569378 PECOS PAC ID: 1456442334 Enrollment ID: I20090511000459 |
Provider Name | Kynndyl Paige Giannonatti |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215599980 PECOS PAC ID: 6709111537 Enrollment ID: I20190716001024 |
Mailing Address | Practice Location Address |
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216 S Main St, Crookston, MN 56716-1939 Ph: (218) 281-2020 | 216 S Main St, Crookston, MN 56716-1939 Ph: (218) 281-2020 |
Crookston Eye Clinic, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 216 S Main St, Crookston, MN 56716 Phone: 218-281-2020 Fax: 218-281-5997 | |
Dr. Matthew C Forgit, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 S Main St, Crookston, MN 56716 Phone: 218-281-2020 Fax: 218-281-5997 | |
Dr. Angela Sue Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 S Main St Ste 2, Crookston, MN 56716 Phone: 218-281-2020 Fax: 218-281-5997 | |
Kari Jane Miller, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 216 S Main St, Crookston, MN 56716 Phone: 218-281-2020 Fax: 218-281-5997 |