| Excelsior Eyecare, Pllc | |
|
228 Water St, Excelsior, MN 55331-1825 | |
| (952) 401-6300 | |
| (952) 401-6303 |
| Full Name | Excelsior Eyecare, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 228 Water St, Excelsior, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912138330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Aaron B Mjelstad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952347056 PECOS PAC ID: 4880778992 Enrollment ID: I20080228000212 |
| Provider Name | Robert E Hersman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427068774 PECOS PAC ID: 9335223437 Enrollment ID: I20080228000263 |
| Provider Name | Nathan P Langemo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316272495 PECOS PAC ID: 2466604400 Enrollment ID: I20121220000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsior Eyecare, Pllc Po Box 1170, Maple Grove, MN 55311-6170 Ph: (952) 401-6300 | Excelsior Eyecare, Pllc 228 Water St, Excelsior, MN 55331-1825 Ph: (952) 401-6300 |
Brevier Optical Optometrist Medicare: Medicare Enrolled Practice Location: 143 Oak St, Excelsior, MN 55331 Phone: 952-401-1700 Fax: 952-401-7908 | |
Sarah Rowe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 143 Oak St, Excelsior, MN 55331 Phone: 952-401-1700 Fax: 952-401-7908 | |
Brevier Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 143 Oak St, Excelsior, MN 55331 Phone: 952-401-1701 Fax: 952-401-7908 |