Northeast Eye Care | |
14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | |
(651) 426-3630 | |
Not Available |
Full Name | Northeast Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 14643 Mercantile Blvd, Hugo, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437276763 | NPI | - | NPPES |
226680000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2585 (Minnesota) | Primary |
Provider Name | Kristi A Iverson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669407581 PECOS PAC ID: 2466551239 Enrollment ID: I20070619000541 |
Provider Name | Rafe Garofalo |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639102114 PECOS PAC ID: 6901905777 Enrollment ID: I20070619000566 |
Provider Name | Casey W Bateman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720439466 PECOS PAC ID: 7113213265 Enrollment ID: I20160915001839 |
Provider Name | Katelyn L Schneider |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689233447 PECOS PAC ID: 1951638501 Enrollment ID: I20190806001194 |
Mailing Address | Practice Location Address |
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Northeast Eye Care 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 Ph: (651) 426-3630 | Northeast Eye Care 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 Ph: (651) 426-3630 |
Dr. Michael S Petronack, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5679 147th St N, Hugo, MN 55038 Phone: 651-762-9545 Fax: 651-762-9542 | |
Hugo Optical Optometrist Medicare: Medicare Enrolled Practice Location: 5679 147th St N, Hugo, MN 55038 Phone: 651-762-9545 Fax: 651-762-9542 |