Granite City Family Eye Care Pa | |
414 Great Oak Dr, Waite Park, MN 56387-2504 | |
(320) 251-8061 | |
(320) 202-8031 |
Full Name | Granite City Family Eye Care Pa |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 414 Great Oak Dr, Waite Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538363478 | NPI | - | NPPES |
410002837 | Medicaid | MN | |
1710903562 | Other | NPI | |
V07233 | Other | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Robert Sartoris |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437194024 PECOS PAC ID: 1951496199 Enrollment ID: I20071002000752 |
Provider Name | Rebecca J Hofer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710903562 PECOS PAC ID: 7517986128 Enrollment ID: I20071002000777 |
Mailing Address | Practice Location Address |
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Granite City Family Eye Care Pa 414 Great Oak Dr, Waite Park, MN 56387-2504 Ph: (320) 251-8061 | Granite City Family Eye Care Pa 414 Great Oak Dr, Waite Park, MN 56387-2504 Ph: (320) 251-8061 |
Bennett W Nelson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Anna C Malikowski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-0365 | |
Insight Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 206 W Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Burt Dubow, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Gregory Friederichs, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Dr. Lanette Green, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 |