| Pearle Vision | |
|
12771 Riverdale Blvd Nw, Suite 103, Coon Rapids, MN 55448-1262 | |
| (763) 421-1220 | |
| Not Available |
| Full Name | Pearle Vision |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 12771 Riverdale Blvd Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609292077 | NPI | - | NPPES |
| 005323600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | MN2732 (Minnesota) | Primary |
| Provider Name | Kara D Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710079892 PECOS PAC ID: 6709879042 Enrollment ID: I20040405000525 |
| Provider Name | Erika C Januschka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487746525 PECOS PAC ID: 4880657006 Enrollment ID: I20041109000598 |
| Provider Name | Timothy S Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871629170 PECOS PAC ID: 1153427489 Enrollment ID: I20070503000280 |
| Provider Name | Shannon E Koenders |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902391626 PECOS PAC ID: 4688002843 Enrollment ID: I20200323000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Pearle Vision 12771 Riverdale Blvd Nw, Suite 103, Coon Rapids, MN 55448-1262 Ph: (763) 421-1220 | Pearle Vision 12771 Riverdale Blvd Nw, Suite 103, Coon Rapids, MN 55448-1262 Ph: (763) 421-1220 |
Dr. Kristi Jo Backer Palmer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Dr. Bridget C Axelson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Phone: 763-421-7420 | |
Robert Dodge, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12737 Riverdale Blvd Nw, Coon Rapids, MN 55448 Phone: 763-433-3468 | |
Nordin Eye Care Associates Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13020 Riverdale Dr Nw, Coon Rapids, MN 55448 Phone: 763-421-9652 | |
James Conrad Verkuilen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Vista Family Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-843-7153 | |
Dr. Paul Chadima Hammond, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Phone: 763-421-7420 |