Pinecone Vision Center, Pa | |
2180 Troop Dr, Sartell, MN 56377-7504 | |
(320) 258-3915 | |
(320) 258-3917 |
Full Name | Pinecone Vision Center, Pa |
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Type | Facility |
Speciality | Optometrist |
Location | 2180 Troop Dr, Sartell, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790830701 | NPI | - | NPPES |
1790830701 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2617 (Minnesota) | Primary |
Provider Name | Nicholas Colatrella |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467507475 PECOS PAC ID: 2860382967 Enrollment ID: I20040319000869 |
Provider Name | Stacy M Hinkemeyer-colatrella |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881788016 PECOS PAC ID: 2365332467 Enrollment ID: I20040319000889 |
Provider Name | Kevy Simmons |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407101892 PECOS PAC ID: 9032360391 Enrollment ID: I20160511002377 |
Provider Name | Joseph J Allen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023390499 PECOS PAC ID: 9032401997 Enrollment ID: I20160713001619 |
Provider Name | Shalon A Ronning |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770010613 PECOS PAC ID: 1052688652 Enrollment ID: I20170602001136 |
Provider Name | Trevor James Fosso |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336597079 PECOS PAC ID: 3577854264 Enrollment ID: I20170809002957 |
Provider Name | Brett Michael Hollenbach |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669953873 PECOS PAC ID: 7416283312 Enrollment ID: I20190731000073 |
Provider Name | Sydney Athmann |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316677925 PECOS PAC ID: 5092196048 Enrollment ID: I20220721002398 |
Provider Name | Alyssa Judell Richard |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699466284 PECOS PAC ID: 0042677395 Enrollment ID: I20230601001846 |
Mailing Address | Practice Location Address |
---|---|
Pinecone Vision Center, Pa 2180 Troop Dr, Sartell, MN 56377-4563 Ph: (320) 258-3915 | Pinecone Vision Center, Pa 2180 Troop Dr, Sartell, MN 56377-7504 Ph: (320) 258-3915 |
Kelly Noel Freese, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2380 Troop Dr, Suite201, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Dr. Joseph Jerome Allen, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Sydney Athmann, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Trevor J Fosso, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Hunter Riley Throndsen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 | |
Dr. Nicholas Colatrella, O.D. FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Pinecone Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2180 Troop Drive, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 |