Dr Bradley L Backhaus, OD | |
2404 1st St S, Suite 1, Willmar, MN 56201-6300 | |
(320) 235-1235 | |
(320) 235-9241 |
Full Name | Dr Bradley L Backhaus |
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Gender | Male |
Speciality | Optometrist |
Location | 2404 1st St S, Willmar, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649215476 | NPI | - | NPPES |
398523700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2069 (Minnesota) | Primary |
Provider Name | Fischer Laser Eye Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558310623 PECOS PAC ID: 6406756295 Enrollment ID: O20040109000216 |
Provider Name | Backhaus Eye Service, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760674782 PECOS PAC ID: 6800813478 Enrollment ID: O20051102000342 |
Mailing Address | Practice Location Address |
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Dr Bradley L Backhaus, OD 2404 1st St S, Suite 1, Willmar, MN 56201-6300 Ph: (320) 235-1235 | Dr Bradley L Backhaus, OD 2404 1st St S, Suite 1, Willmar, MN 56201-6300 Ph: (320) 235-1235 |
Dr. Whitney Stock, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2020 | |
Thomas J Lenz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2020 Fax: 320-214-5761 | |
Dr. Michael L Novak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2020 Fax: 320-214-5761 | |
Dr. Thomas C Mueller, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Shane Jahraus, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2020 | |
Dr. Jennifer Lynn Fairbanks, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 1801 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2020 | |
Jessica A Wentzell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Affiliated Community Medical Centers, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 |