Southwest Eye Care | |
1201 Greeley Ave N # 3, Glencoe, MN 55336-2135 | |
(320) 864-2020 | |
(320) 864-6684 |
Full Name | Southwest Eye Care |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1201 Greeley Ave N # 3, Glencoe, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144343252 | NPI | - | NPPES |
617518000 | Medicaid | MN | |
1881741213 | Other | MN | NPI AMY |
1922004514 | Other | MN | GREGORY MACIK |
1104975762 | Other | MN | NPI CHAD DOCKTER |
1770631889 | Other | MN | CHRISTOPHER FREED |
650127300 | Medicaid | MN | |
958906600 | Medicaid | MN | |
683719100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2627 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Southwest Eye Care 1464 White Oak Dr, Chaska, MN 55318-2525 Ph: (952) 466-3937 | Southwest Eye Care 1201 Greeley Ave N # 3, Glencoe, MN 55336-2135 Ph: (320) 864-2020 |
Dale E Nelson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1234 Greeley Ave N, Glencoe, MN 55336 Phone: 320-864-6111 Fax: 320-864-6134 | |
Dr. Aubree Thorseth, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 Greeley Ave N # 3, Glencoe, MN 55336 Phone: 320-864-2020 | |
Dr. Mark W Wellnitz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 Greeley Ave N # 3, Glencoe, MN 55336 Phone: 320-864-2020 Fax: 320-864-6678 |