| Eye Care Center | |
|
1202 Moore Lake Dr E, Fridley, MN 55432-5170 | |
| (763) 567-0075 | |
| (763) 574-0594 |
| Full Name | Eye Care Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1202 Moore Lake Dr E, Fridley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548356595 | NPI | - | NPPES |
| 367822900 | Medicaid | MN | |
| 08073KR | Other | MN | BCBS OF MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1635 (Minnesota) | Primary |
| Provider Name | Tina M Mccarty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720046170 PECOS PAC ID: 9739162041 Enrollment ID: I20040609000157 |
| Provider Name | Bradley D Richter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922058247 PECOS PAC ID: 9830159037 Enrollment ID: I20100819000043 |
| Provider Name | Mitchell H Albers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407806763 PECOS PAC ID: 8921068123 Enrollment ID: I20100921000762 |
| Provider Name | Ashley Herde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033473343 PECOS PAC ID: 3779733522 Enrollment ID: I20121101000394 |
| Provider Name | Alicia Marie Alvarado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295185122 PECOS PAC ID: 8729379441 Enrollment ID: I20160627001840 |
| Provider Name | Katelyn J Mcdevitt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912520198 PECOS PAC ID: 7315369568 Enrollment ID: I20200617001794 |
| Provider Name | Megan A Haresdin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396319968 PECOS PAC ID: 7911309679 Enrollment ID: I20210719000054 |
| Provider Name | Samuel Beers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619590650 PECOS PAC ID: 1759704018 Enrollment ID: I20230124001922 |
| Provider Name | Rachael Barker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780980490 PECOS PAC ID: 0345469375 Enrollment ID: I20230308001355 |
| Provider Name | Matthew Stein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205501095 PECOS PAC ID: 6507261708 Enrollment ID: I20231205000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Care Center 1202 Moore Lake Dr E, Fridley, MN 55432-5170 Ph: (763) 567-0075 | Eye Care Center 1202 Moore Lake Dr E, Fridley, MN 55432-5170 Ph: (763) 567-0075 |
Steven Alex Rizzi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5700 | |
Dr. Carol Elizabeth Mcmanman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8450 University Ave Ne, Fridley, MN 55432 Phone: 763-780-9553 Fax: 763-780-9632 | |
Alicia Marie Alvarado, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-574-0075 Fax: 763-574-0594 | |
Megan Haresdin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-574-0075 | |
Dr. Steve Brent Nauman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-574-0075 | |
Norman Paul Reznicow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7362 University Ave Ne, Fridley, MN 55432 Phone: 763-571-1800 Fax: 763-571-1880 |