Pearle Vision Willmar | |
2404 1st St S Willmar MN 56201-6300 | |
(320) 235-1235 | |
(320) 235-9241 |
Full Name | Pearle Vision Willmar |
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Speciality | Clinic/Center |
Location | 2404 1st St S, Willmar, Minnesota |
Authorized Official Name and Position | Bradley L Backhaus (CEO) |
Authorized Official Contact | 3202351235 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pearle Vision Willmar 2404 1st St S Willmar MN 56201-6300 Ph: (320) 235-1235 | Pearle Vision Willmar 2404 1st St S Willmar MN 56201-6300 Ph: (320) 235-1235 |
NPI Number | 1760674782 |
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Provider Enumeration Date | 08/14/2007 |
Last Update Date | 11/05/2008 |
Medicare PECOS PAC ID | 6800813478 |
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Medicare Enrollment ID | O20051102000342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760674782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 2069 (Minnesota) | Primary |
Provider Name | Bradley L Backhaus |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649215476 PECOS PAC ID: 8426075003 Enrollment ID: I20051102000401 |
Centracare Clinic Southwest Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 | |
West Central Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 Becker Ave Sw Ste 1a, Willmar, MN 56201 Phone: 612-814-7840 | |
Community Health Service Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201 Phone: 320-214-7286 Fax: 320-214-7223 | |
Gillette Children's Healthcare Willmar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 1st St S Ste 1, Willmar, MN 56201 Phone: 651-634-1938 | |
Carris Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 | |
Miller Chiropractic Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201 Phone: 320-235-0880 |