| Wallerich Eye Care Llc | |
|
1300 University Ave W, Saint Paul, MN 55104-4103 | |
| (612) 643-3525 | |
| (612) 299-1452 |
| Full Name | Wallerich Eye Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1300 University Ave W, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194377671 | NPI | - | NPPES |
| 1881135093 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kelsey Marie Keltgen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609156835 PECOS PAC ID: 0042471732 Enrollment ID: I20121220000354 |
| Provider Name | Amanda A Pojanowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528310869 PECOS PAC ID: 6507165255 Enrollment ID: I20160502000002 |
| Provider Name | Michael Thomas Wallerich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881135093 PECOS PAC ID: 8123378767 Enrollment ID: I20180901000005 |
| Provider Name | Kelsey Marie Sieg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336590116 PECOS PAC ID: 5092067041 Enrollment ID: I20181003000264 |
| Mailing Address | Practice Location Address |
|---|---|
| Wallerich Eye Care Llc Po Box 747, Hollywood, MD 20636-0747 Ph: (763) 746-2094 | Wallerich Eye Care Llc 1300 University Ave W, Saint Paul, MN 55104-4103 Ph: (612) 643-3525 |
Kennedy Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1790 Lexington Ave N, Saint Paul, MN 55113 Phone: 651-488-6771 Fax: 651-488-5576 | |
Maggie Scott, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1360 University Ave W Ste 106, Saint Paul, MN 55104 Phone: 651-251-0317 | |
Dr. Julie M Blenker, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 261 Ruth St N Ste E, Saint Paul, MN 55119 Phone: 651-739-5173 Fax: 651-739-8907 | |
John Heyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-241-7000 | |
Dr. Matthew Thomas Hendricks, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7500 | |
Broecker Eye & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 2356 University Ave W, Suite 260, Saint Paul, MN 55114 Phone: 651-645-8124 Fax: 651-645-8125 | |
Dr. David Andrew Spande, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 University Ave W, Optical Clinic, Saint Paul, MN 55104 Phone: 651-641-6181 Fax: 651-646-3292 |