Midwest Vision Centers | |
517 Dakota Ave, Wahpeton, ND 58075 | |
(701) 642-9302 | |
(701) 642-4321 |
Full Name | Midwest Vision Centers |
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Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 517 Dakota Ave, Wahpeton, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457677130 | NPI | - | NPPES |
60687 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6237575 (Minnesota) | Secondary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Provider Name | Wendy Lawson Kopp |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669581765 PECOS PAC ID: 6507858503 Enrollment ID: I20040401000428 |
Provider Name | James B Connelly |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508884016 PECOS PAC ID: 2769474311 Enrollment ID: I20040417000448 |
Provider Name | Shanon G Bencker |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972612075 PECOS PAC ID: 2264482835 Enrollment ID: I20050201000136 |
Provider Name | Shari L Kensok |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366548752 PECOS PAC ID: 3971556085 Enrollment ID: I20050301000778 |
Provider Name | Eric Ross |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881033751 PECOS PAC ID: 9133355696 Enrollment ID: I20131112000788 |
Provider Name | Carissa Guler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386028777 PECOS PAC ID: 6305153321 Enrollment ID: I20150923001233 |
Provider Name | Vanessa R Manlove |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376194472 PECOS PAC ID: 1951735125 Enrollment ID: I20191220001079 |
Mailing Address | Practice Location Address |
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Midwest Vision Centers Po Box 456, Saint Cloud, MN 56302-0456 Ph: (888) 466-5777 | Midwest Vision Centers 517 Dakota Ave, Wahpeton, ND 58075 Ph: (701) 642-9302 |