| |
45 Lady Luck Dr., Suite 120, Hinckley, MN 55037 | |
(320) 384-6361 | |
(320) 384-6361 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 45 Lady Luck Dr., Hinckley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700263985 | NPI | - | NPPES |
1235188079 | Other | MN | PROVIDER NPI |
1411674742 | Medicaid | MN | |
1760558399 | Other | MN | PROVIDER NPI |
1275582421 | Other | MN | PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 152W00000X (Minnesota) | Primary |
Mailing Address | Practice Location Address |
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Po Box 728, Hinckley, MN 55037-0728 Ph: (320) 384-6361 | 45 Lady Luck Dr., Suite 120, Hinckley, MN 55037 Ph: (320) 384-6361 |
Dr. Brooke A Wiener, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 203 Morris Ave, Hinckley, MN 55037 Phone: 320-384-0123 Fax: 320-384-0123 |