| Minnesota Optometric Eye Doctor, P.a. | |
|
2650 32nd Ave S # Setf3, Grand Forks, ND 58201-6541 | |
| (701) 746-4240 | |
| Not Available |
| Full Name | Minnesota Optometric Eye Doctor, P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2650 32nd Ave S # Setf3, Grand Forks, 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 |
|---|---|---|---|
| 1558972349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Eric Tyler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285652826 PECOS PAC ID: 2668367897 Enrollment ID: I20201230001493 |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Optometric Eye Doctor, P.a. 2650 32nd Ave S # Setf3, Grand Forks, ND 58201-6541 Ph: (701) 746-4240 | Minnesota Optometric Eye Doctor, P.a. 2650 32nd Ave S # Setf3, Grand Forks, ND 58201-6541 Ph: (701) 746-4240 |
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Terra L Boettcher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000 | |
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