Opticare | |
421 Demers Ave, East Grand Forks, MN 56721-1835 | |
(218) 773-3438 | |
(218) 773-1645 |
Full Name | Opticare |
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Type | Facility |
Speciality | Optometrist |
Location | 421 Demers Ave, East Grand Forks, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144357211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Minnesota) | Primary |
Provider Name | Destin R Coles |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275695025 PECOS PAC ID: 1850294083 Enrollment ID: I20040127000896 |
Provider Name | Bruce A Storhaug |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275561482 PECOS PAC ID: 8729981956 Enrollment ID: I20101101001574 |
Provider Name | Steven P Gander |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376639476 PECOS PAC ID: 0547163776 Enrollment ID: I20101101001584 |
Mailing Address | Practice Location Address |
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Opticare 421 Demers Ave, East Grand Forks, MN 56721-1835 Ph: (218) 773-3438 | Opticare 421 Demers Ave, East Grand Forks, MN 56721-1835 Ph: (218) 773-3438 |
Dr. Bruce A. Storhaug, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 421 Demers Ave. Nw, East Grand Forks, MN 56721 Phone: 218-773-3438 Fax: 218-773-1645 | |
Dr. Destin Ross Coles, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 421 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-3438 Fax: 218-773-1645 | |
Dr. Steven Phillip Gander, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 421 Demers Ave. Nw, East Grand Forks, MN 56721 Phone: 218-773-3438 Fax: 218-773-1645 |