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110 Evergreen Square, Pine City, MN 55063 | |
| (320) 629-7262 | |
| (320) 629-7789 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 110 Evergreen Square, Pine City, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851324313 | NPI | - | NPPES |
| 644731700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
110 Evergreen Square, Pine City, MN 55063 Ph: (320) 629-7262 | 110 Evergreen Square, Pine City, MN 55063 Ph: (320) 629-7262 |
Dr. Calli Toler, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Evergreen Sq Sw, Pine City, MN 55063 Phone: 320-629-7262 | |
Mr. Cody Michael Benedict, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 110 Evergreen Sq Sw, Pine City, MN 55063 Phone: 320-629-7262 | |
Dr. Shirola & Associates, Optometrists P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 950 11th St Sw, Pine City, MN 55063 Phone: 320-629-7465 | |
Dr. Rafe Garofalo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Evergreen Square, Pine City, MN 55063 Phone: 320-629-7262 Fax: 320-627-7789 | |
Dr. Kristi Ann Iverson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Evergreen Square, Pine City, MN 55063 Phone: 320-629-7262 Fax: 320-629-7789 |