| |
1 E Minnesota St, Le Center, MN 56057-1501 | |
(507) 357-6665 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1 E Minnesota St, Le Center, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972657658 | NPI | - | NPPES |
0322460001 | Other | MN | DMERC |
15568 | Other | MN | HEALTH PARTNERS |
33077DI | Other | MN | BLUE CROSS BLUE SHIELD |
44977TH | Other | MN | BLUEPLUS EYEWEAR |
114338 | Other | MN | UCARE |
2200871 | Other | MN | MEDICA |
706140400 | Medicaid | MN | |
C06707 | Other | MN | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2076 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
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320 Sunrise Dr, Saint Peter, MN 56082-1352 Ph: (507) 931-6436 | 1 E Minnesota St, Le Center, MN 56057-1501 Ph: (507) 357-6665 |