| |
1815 W Lincoln Ave, Olivia, MN 56277-1271 | |
(320) 523-2020 | |
(320) 523-1335 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist - Corneal And Contact Management |
Location | 1815 W Lincoln Ave, Olivia, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942258413 | NPI | - | NPPES |
640583500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 5545930 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
1815 W Lincoln Ave, Olivia, MN 56277-1271 Ph: (320) 523-2020 | 1815 W Lincoln Ave, Olivia, MN 56277-1271 Ph: (320) 523-2020 |