Patient Centered Eye Care Of Minnesota Llc | |
3109 W 50th St, Ste 124, Minneapolis, MN 55410-2102 | |
(855) 488-3937 | |
(866) 415-6805 |
Full Name | Patient Centered Eye Care Of Minnesota Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 3109 W 50th St, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366863862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3367 (Minnesota) | Primary |
332H00000X | Eyewear Supplier | 3367 (Minnesota) | Secondary |
Provider Name | Jennifer L Elam |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356443261 PECOS PAC ID: 0749443554 Enrollment ID: I20140404000252 |
Mailing Address | Practice Location Address |
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Patient Centered Eye Care Of Minnesota Llc 3109 W 50th St, Ste 124, Minneapolis, MN 55410-2102 Ph: (855) 488-3937 | Patient Centered Eye Care Of Minnesota Llc 3109 W 50th St, Ste 124, Minneapolis, MN 55410-2102 Ph: (855) 488-3937 |
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