Sanford Health Fosston Eye Center | |
111 2nd St Ne, Fosston, MN 56542-1301 | |
(218) 435-1010 | |
(218) 435-1715 |
Full Name | Sanford Health Fosston Eye Center |
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Type | Facility |
Speciality | Optometrist |
Location | 111 2nd St Ne, Fosston, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265829881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Sara A Fredrickson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407880057 PECOS PAC ID: 7214982511 Enrollment ID: I20050321000169 |
Provider Name | Samuel R Sant |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740327493 PECOS PAC ID: 8628008638 Enrollment ID: I20050819000156 |
Provider Name | Andrew A Jordan |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1992723563 PECOS PAC ID: 1850345299 Enrollment ID: I20060123000834 |
Provider Name | Germaine E Cheslock |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154468890 PECOS PAC ID: 9335240191 Enrollment ID: I20070723000840 |
Provider Name | Pamela M Samson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1760403984 PECOS PAC ID: 1153414818 Enrollment ID: I20070911000702 |
Provider Name | Staci Lynn Collison |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588949648 PECOS PAC ID: 6002036589 Enrollment ID: I20141003002230 |
Provider Name | Derek David Czywczynski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427281583 PECOS PAC ID: 0648316646 Enrollment ID: I20200521000589 |
Provider Name | Katie M English |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1386030542 PECOS PAC ID: 9830479542 Enrollment ID: I20201125000474 |
Provider Name | Kelly Pruett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336217900 PECOS PAC ID: 4385817691 Enrollment ID: I20210204000116 |
Mailing Address | Practice Location Address |
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Sanford Health Fosston Eye Center Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Sanford Health Fosston Eye Center 111 2nd St Ne, Fosston, MN 56542-1301 Ph: (218) 435-1010 |
Northwest Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 2nd St Ne, Fosston, MN 56542 Phone: 218-435-1010 Fax: 218-435-1715 |