| Le Sueur Eyecare Center Llc | |
|
101 Main St S Ste 103, Le Sueur, MN 56058-7503 | |
| (507) 665-3366 | |
| (507) 665-3990 |
| Full Name | Le Sueur Eyecare Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 101 Main St S Ste 103, Le Sueur, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932268257 | NPI | - | NPPES |
| 193518600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey S Mootz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417037730 PECOS PAC ID: 5698813681 Enrollment ID: I20091111000746 |
| Provider Name | Matthew Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316352834 PECOS PAC ID: 4587882881 Enrollment ID: I20201123001473 |
| Mailing Address | Practice Location Address |
|---|---|
| Le Sueur Eyecare Center Llc 101 Main St S Ste 103105, Le Sueur, MN 56058-7502 Ph: (507) 665-3366 | Le Sueur Eyecare Center Llc 101 Main St S Ste 103, Le Sueur, MN 56058-7503 Ph: (507) 665-3366 |
Dr. Jeffrey Scott Mootz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 303 Valley Green Square, Le Sueur, MN 56058 Phone: 507-665-3366 Fax: 507-665-3990 | |
Emma Panning, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Main St S Ste 103105, Le Sueur, MN 56058 Phone: 507-665-3366 |