| Lg Vision Services Llc | |
|
8150 University Ave Ne, Fridley, MN 55432-1864 | |
| (763) 784-4102 | |
| Not Available |
| Full Name | Lg Vision Services Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8150 University Ave Ne, Fridley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588190961 | NPI | - | NPPES |
| 1861550741 | Other | MN | INDIVIDUAL-TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2965 (Minnesota) | Primary |
| Provider Name | Lance E Gutfleisch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861550741 PECOS PAC ID: 9032298757 Enrollment ID: I20080507000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Lg Vision Services Llc Po Box 1170, Maple Grove, MN 55311-6170 Ph: (763) 746-2094 | Lg Vision Services Llc 8150 University Ave Ne, Fridley, MN 55432-1864 Ph: (763) 784-4102 |
Steven Alex Rizzi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5700 | |
Dr. Carol Elizabeth Mcmanman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8450 University Ave Ne, Fridley, MN 55432 Phone: 763-780-9553 Fax: 763-780-9632 | |
Alicia Marie Alvarado, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-574-0075 Fax: 763-574-0594 | |
Megan Haresdin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-574-0075 | |
Dr. Steve Brent Nauman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-574-0075 | |
Norman Paul Reznicow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7362 University Ave Ne, Fridley, MN 55432 Phone: 763-571-1800 Fax: 763-571-1880 | |
Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-567-0075 Fax: 763-574-0594 |