| |
241 W. Hwy. 210, Mcgregor, MN 55760 | |
(218) 768-7000 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 241 W. Hwy. 210, Mcgregor, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437233079 | NPI | - | NPPES |
281815900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2588 (Minnesota) | Primary |
152W00000X | Optometrist | 1998 (Minnesota) | Secondary |
Provider Name | David K Hakes |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992701536 PECOS PAC ID: 6103727144 Enrollment ID: I20040114000263 |
Provider Name | Steven A Kinzer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518918960 PECOS PAC ID: 9830125541 Enrollment ID: I20100111000780 |
Provider Name | Douglas R Landsverk |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265483606 PECOS PAC ID: 7012943723 Enrollment ID: I20100111000790 |
Mailing Address | Practice Location Address |
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241 W. Hwy. 210, Mcgregor, MN 55760 Ph: (218) 768-7000 | 241 W. Hwy. 210, Mcgregor, MN 55760 Ph: (218) 768-7000 |