| Eye Fashions Optical Shoppe Inc | |
|
202 Nw 1st Ave, Grand Rapids, MN 55744 | |
| (218) 326-0358 | |
| (218) 326-0358 |
| Full Name | Eye Fashions Optical Shoppe Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 202 Nw 1st Ave, Grand Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477624971 | NPI | - | NPPES |
| 1008835 | Other | COPORATE BENEFIT SERV | |
| 4C427EY | Other | BLUE PLUS | |
| 4C427EY | Other | MN | MINN CARE BLUE PLUS |
| U33589 | Other | EYEMED | |
| 593932000 | Medicaid | MN | |
| U33589 | Other | FIRSTPLAN | |
| U33589 | Other | FIRSTPLANBLUE | |
| 2200897 | Other | MEDICA GR EX | |
| 3C838SC | Other | BLUE PLUS | |
| 3C838SC | Other | BLUE SHIELD | |
| 974251008835 | Other | PREFERRED ONE | |
| 3C837EY | Other | BLUE SHIELD | |
| 3C837EY | Other | BLUE PLUS | |
| 974251008835 | Other | CBSA PPO | |
| HP29720 | Other | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2415 (Minnesota) | Primary |
| Provider Name | Larry J Schlauderaff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477748085 PECOS PAC ID: 0446221154 Enrollment ID: I20040817000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Fashions Optical Shoppe Inc 202 Nw 1st Ave, Grand Rapids, MN 55744 Ph: (218) 326-0358 | Eye Fashions Optical Shoppe Inc 202 Nw 1st Ave, Grand Rapids, MN 55744 Ph: (218) 326-0358 |
John L Bonner Eye Clinic Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744 Phone: 218-326-3433 Fax: 218-326-3435 | |
Heidi Dahlberg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Se 29th St, Grand Rapids, MN 55744 Phone: 218-326-1101 Fax: 218-326-1106 | |
Paul Lee Dubbels, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 710 S Pokegama Ave, Grand Rapids, MN 55744 Phone: 218-326-1775 Fax: 218-326-3745 | |
Dr. Darwin Dalen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 Nw 4th St, Grand Rapids, MN 55744 Phone: 218-326-9619 Fax: 218-326-9619 | |
Corey H Tabbert Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 15 Ne 5th St, Grand Rapids, MN 55744 Phone: 218-327-1148 | |
Vision Pro Ii, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3150 S Pokegama Ave Ste 103, Grand Rapids, MN 55744 Phone: 218-327-0070 Fax: 218-327-0070 |