Glacial Ridge Eye Clinic is a
Eyewear Supplier based in Glenwood, Minnesota. Glacial Ridge Eye Clinic is licensed to practice in * (Not Available) (license number ) and their current practice location is
24 1st St Se, Glenwood, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(320) 634-4516.
NPI number for Glacial Ridge Eye Clinic is 1922401694 and their current mailing address is 24 1st St Se, Glenwood, Minnesota. Glacial Ridge Eye Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1922401694.
Healthcare Provider's Profile
| Full Name | Glacial Ridge Eye Clinic |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 24 1st St Se, Glenwood, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922401694
- Provider Enumeration Date: 10/08/2014
- Last Update Date: 04/14/2022
Medical Identifiers
Medical identifiers for Glacial Ridge Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922401694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1709 (Minnesota) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glacial Ridge Eye Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Glacial Ridge Eye Clinic
24 1st St Se,
Glenwood, MN 56334-1619
Ph: (320) 634-4516 | Glacial Ridge Eye Clinic
24 1st St Se,
Glenwood, MN 56334-1619
Ph: (320) 634-4516 |
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