| Wadena Eye Clinic Ltd | |
|
222 Southeast First Street, Wadena, MN 56482-1567 | |
| (218) 631-2020 | |
| (218) 631-1892 |
| Full Name | Wadena Eye Clinic Ltd |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 222 Southeast First Street, Wadena, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669565412 | NPI | - | NPPES |
| 57331 | Other | MN | HEALTHPARTNERS |
| 5C053WA | Other | MN | BLUE PLUS |
| 2116301 | Other | MN | MEDICA |
| 297717600 | Medicaid | MN | |
| 999995765 | Other | MN | VSP-DR.TABBERT |
| 83294MI | Other | MN | BLUE CROSS BLUE SHIELD |
| 999995764 | Other | MN | VSP-DR.MILLER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Minnesota) | Primary |
| Provider Name | Joseph A Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699868430 PECOS PAC ID: 8123014941 Enrollment ID: I20120117000764 |
| Provider Name | Jenna K Backowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831502244 PECOS PAC ID: 8820212525 Enrollment ID: I20140620000095 |
| Provider Name | Elizabeth M Marshall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992321335 PECOS PAC ID: 4587080759 Enrollment ID: I20200818003664 |
| Mailing Address | Practice Location Address |
|---|---|
| Wadena Eye Clinic Ltd 222 Southeast First Street, Wadena, MN 56482-1567 Ph: (218) 631-2020 | Wadena Eye Clinic Ltd 222 Southeast First Street, Wadena, MN 56482-1567 Ph: (218) 631-2020 |
Dr. Zachary Lundgren, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1603 Southbrook Ln, Wadena, MN 56482 Phone: 218-371-7022 | |
Dr. William John Hartman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 315 Jefferson St S, Wadena, MN 56482 Phone: 218-631-1456 Fax: 218-631-3213 | |
Azure Vision Care Optometrist Medicare: Medicare Enrolled Practice Location: 652 Jefferson Street N, Wadena, MN 56482 Phone: 218-631-1456 Fax: 218-631-3213 | |
Dr. Joseph Alan Miller, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 222 1st St Se, Wadena, MN 56482 Phone: 218-631-2020 Fax: 218-631-1892 | |
Dr. Corey H Tabbert, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 222 Se First Street, Wadena, MN 56482 Phone: 218-631-2020 Fax: 218-631-1892 | |
Dr. Elizabeth Marie Marshall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 222 1st St Se, Wadena, MN 56482 Phone: 218-631-2020 |