Grace Vision, Inc. | |
3001 White Bear Ave N, Suite 1050, Saint Paul, MN 55109-1215 | |
(651) 770-3924 | |
Not Available |
Full Name | Grace Vision, Inc. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 3001 White Bear Ave N, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386077592 | NPI | - | NPPES |
1073609715 | Other | MN | NPI |
1891881512 | Other | MN | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2339 (Minnesota) | Primary |
Provider Name | Jeanny M Liu-wu |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073609715 PECOS PAC ID: 3971630633 Enrollment ID: I20100428000972 |
Provider Name | Gaile Kristine Philipp |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740515832 PECOS PAC ID: 6709187180 Enrollment ID: I20151209002429 |
Provider Name | Nathan Haverkamp |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669967188 PECOS PAC ID: 1658622642 Enrollment ID: I20181002001456 |
Provider Name | Derek You-chun Wu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265207716 PECOS PAC ID: 6103279104 Enrollment ID: I20240125003536 |
Provider Name | Sarah Grace Watson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396504304 PECOS PAC ID: 8426499831 Enrollment ID: I20240516002114 |
Mailing Address | Practice Location Address |
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Grace Vision, Inc. 3781 Fairway Dr, Woodbury, MN 55125-5019 Ph: (651) 735-3477 | Grace Vision, Inc. 3001 White Bear Ave N, Suite 1050, Saint Paul, MN 55109-1215 Ph: (651) 770-3924 |
Kennedy Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1790 Lexington Ave N, Saint Paul, MN 55113 Phone: 651-488-6771 Fax: 651-488-5576 | |
Maggie Scott, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1360 University Ave W Ste 106, Saint Paul, MN 55104 Phone: 651-251-0317 | |
Dr. Julie M Blenker, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 261 Ruth St N Ste E, Saint Paul, MN 55119 Phone: 651-739-5173 Fax: 651-739-8907 | |
John Heyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-241-7000 | |
Dr. Matthew Thomas Hendricks, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7500 | |
Broecker Eye & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 2356 University Ave W, Suite 260, Saint Paul, MN 55114 Phone: 651-645-8124 Fax: 651-645-8125 | |
Dr. David Andrew Spande, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 University Ave W, Optical Clinic, Saint Paul, MN 55104 Phone: 651-641-6181 Fax: 651-646-3292 |