| Northwest Eye Center Pa | |
|
1720 Hy 59 Se, Suite 1, Thief River Falls, MN 56701 | |
| (218) 681-3300 | |
| (218) 681-6733 |
| Full Name | Northwest Eye Center Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1720 Hy 59 Se, Thief River Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831156645 | NPI | - | NPPES |
| 644201041982 | Other | MN | PREF |
| 928102900 | Medicaid | MN | |
| 644201030SS1 | Other | MN | PREFERRED |
| 46G79B0 | Other | MN | BCBS |
| 736145900 | Medicaid | MN | |
| 289M4TJ | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2803 (Minnesota) | Primary |
| 152W00000X | Optometrist | 2833 (Minnesota) | Secondary |
| Provider Name | Eric M Tjelle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093732612 PECOS PAC ID: 5395630115 Enrollment ID: I20040219000411 |
| Provider Name | Christopher J Borgen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124045737 PECOS PAC ID: 6901792787 Enrollment ID: I20110610000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Eye Center Pa Po Box 505, 1720 Hwy 59 Se Suite 1, Thief River Falls, MN 56701 Ph: (218) 681-3300 | Northwest Eye Center Pa 1720 Hy 59 Se, Suite 1, Thief River Falls, MN 56701 Ph: (218) 681-3300 |
Dr. Andrea Karen Zipprich, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 211 N Labree Avenue, Midwest Vision Centers, Thief River Falls, MN 56701 Phone: 218-681-5606 Fax: 218-681-5609 | |
Dr. Eric M Tjelle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1720 Hwy 59 Se, Suite 1 Box 505, Thief River Falls, MN 56701 Phone: 218-681-3300 Fax: 218-681-6733 | |
Christopher J Borgen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1720 Hwy 59 Se, Suite 1 Box 505, Thief River Falls, MN 56701 Phone: 218-681-3300 Fax: 218-681-6733 | |
Dr. Jaime Hoenke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 59 S, Thief River Falls, MN 56701 Phone: 701-520-2462 | |
Dr. Craig Roberts Mickelson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 | |
Dr. Christopher Lee Kelly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 |