Granite Family Eyecare is a medicare enrolled "Optometrist" provider in Granite Falls, Minnesota. Their current practice location is
870 Prentice St, Granite Falls, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(320) 564-4997.
Granite Family Eyecare is licensed to practice in Minnesota (license number 2337) and it also participates in the medicare program. Granite Family Eyecare
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1851445464.
Healthcare Provider's Profile
Full Name | Granite Family Eyecare |
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Type | Facility |
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Speciality | Optometrist |
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Location | 870 Prentice St, Granite Falls, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851445464
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 04/08/2008
Medicare PECOS Information:
- PECOS PAC ID: 2163493081
- Enrollment ID: O20040804000737
Medical Identifiers
Medical identifiers for Granite Family Eyecare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851445464 | NPI | - | NPPES |
645512300 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2337 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Granite Family Eyecare acts as a billing entity for following providers:
Provider Name | Todd E Trudel |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1902850852 PECOS PAC ID: 4880665611 Enrollment ID: I20040805000663 |
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Provider Name | Jacob Bollman |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1811336043 PECOS PAC ID: 3274767454 Enrollment ID: I20131001000083 |
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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. Granite Family Eyecare is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Granite Family Eyecare 870 Prentice St, P.o. Box 127, Granite Falls, MN 56241-1521 Ph: (320) 564-4997 | Granite Family Eyecare 870 Prentice St, Granite Falls, MN 56241-1521 Ph: (320) 564-4997 |
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