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420 Center Ave, Suite 41, Moorhead, MN 56560 | |
| (218) 233-1624 | |
| (218) 233-2058 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 420 Center Ave, Moorhead, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336235449 | NPI | - | NPPES |
| DG1558 | Other | MN | RR MEDICARE PIN |
| 281311400 | Medicaid | MN | |
| 61093 | Other | MN | BCBS PIN |
| DB3751 | Other | ND | RR MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
420 Center Ave, Suite 41, Moorhead, MN 56560 Ph: () - | 420 Center Ave, Suite 41, Moorhead, MN 56560 Ph: (218) 233-1624 |
Thomas N Lorentzsen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Stanton L Andrist, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Dr. Casey Clay Bartz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Dr. Patrick Alexander Williamson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 Center Ave Ste 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 |