Roseau/warroad Eye Clinic, P.a. is a
Optometrist based in Warroad, Minnesota. Roseau/warroad Eye Clinic, P.a. is licensed to practice in Minnesota (license number #1693) and their current practice location is
301 Lake Street Ne, Warroad, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(218) 386-2081.
NPI number for Roseau/warroad Eye Clinic, P.a. is 1861562340 and their current mailing address is Box 446, 301 Lake Street Ne, Warroad, Minnesota. Roseau/warroad Eye Clinic, P.a.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1861562340.
Healthcare Provider's Profile
| Full Name | Roseau/warroad Eye Clinic, P.a. |
|---|
| Type | Facility |
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| Speciality | Optometrist |
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| Location | 301 Lake Street Ne, Warroad, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861562340
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 08/05/2014
Medical Identifiers
Medical identifiers for Roseau/warroad Eye Clinic, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861562340 | NPI | - | NPPES |
| 14000DI | Other | MN | BLUE CROSS BLUE SHIELD |
| 14023ER | Other | MN | BLUE CROSS BLUE SHIELD |
| 275823700 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1618 (Minnesota) | Secondary |
| 152W00000X | Optometrist | 1693 (Minnesota) | Secondary |
| 152W00000X | Optometrist | 2946 (Minnesota) | Secondary |
| 152W00000X | Optometrist | #1693 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roseau/warroad Eye Clinic, P.a. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Roseau/warroad Eye Clinic, P.a.
Box 446, 301 Lake Street Ne,
Warroad, MN 56763
Ph: (218) 386-2081 | Roseau/warroad Eye Clinic, P.a.
301 Lake Street Ne,
Warroad, MN 56763
Ph: (218) 386-2081 |
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