Crystal Vision Clinic Pa | |
5730 Bottineau Blvd., Crystal, MN 55429-3104 | |
(763) 537-3213 | |
Not Available |
Full Name | Crystal Vision Clinic Pa |
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Type | Facility |
Speciality | Optometrist |
Location | 5730 Bottineau Blvd., Crystal, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720480007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | John S Endres |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205830254 PECOS PAC ID: 9234102179 Enrollment ID: I20040819000915 |
Provider Name | Kelly B Minnich |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639404296 PECOS PAC ID: 6305089426 Enrollment ID: I20130821000357 |
Provider Name | Erin Marie Sinkoff |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164837373 PECOS PAC ID: 0941420962 Enrollment ID: I20140925001084 |
Provider Name | Chase J Endres |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700263738 PECOS PAC ID: 7113239492 Enrollment ID: I20150629001967 |
Provider Name | Lauren E Bruehl |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083106314 PECOS PAC ID: 3375888258 Enrollment ID: I20181220002576 |
Provider Name | Emily Boss |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265924088 PECOS PAC ID: 8729401880 Enrollment ID: I20200708000178 |
Provider Name | Suzette Skavlem |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790267987 PECOS PAC ID: 2668871344 Enrollment ID: I20220406001468 |
Provider Name | Timothy Yang |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710759774 PECOS PAC ID: 1850748260 Enrollment ID: I20231107001693 |
Mailing Address | Practice Location Address |
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Crystal Vision Clinic Pa 5730 Bottineau Blvd, Crystal, MN 55429-3181 Ph: (763) 537-3213 | Crystal Vision Clinic Pa 5730 Bottineau Blvd., Crystal, MN 55429-3104 Ph: (763) 537-3213 |
Dr. Lauren Elisabeth Bruehl, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5730 Bottineau Blvd, Crystal, MN 55429 Phone: 763-537-3213 | |
J Scott Endres, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5730 Bottineau Blvd., Crystal, MN 55429 Phone: 763-537-3213 Fax: 763-537-6732 | |
Crystal Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-537-3213 Fax: 763-537-6732 | |
Emily Boss, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5730 Bottineau Blvd., Crystal, MN 55369 Phone: 763-537-3213 | |
Mary K Laconic, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-537-3213 Fax: 763-537-6732 | |
Justin Musland, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 143 Willow Bnd, Crystal, MN 55428 Phone: 612-537-8780 | |
Dr. Aaron Thomas Lahoud, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5546 W Broadway Ave Ste 135, Crystal, MN 55428 Phone: 763-537-8896 Fax: 763-537-8549 |