Richie Eye Clinic | |
1575 20th St Nw Ste 101 Faribault MN 55021-2930 | |
(507) 332-9900 | |
(507) 332-6800 |
Full Name | Richie Eye Clinic |
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Speciality | Clinic/Center |
Location | 1575 20th St Nw Ste 101, Faribault, Minnesota |
Authorized Official Name and Position | Michael G Richie (MD/OWNER) |
Authorized Official Contact | 5073329900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Richie Eye Clinic 1575 20th St Nw Ste 101 Faribault MN 55021-2930 Ph: (507) 332-9900 | Richie Eye Clinic 1575 20th St Nw Ste 101 Faribault MN 55021-2930 Ph: (507) 332-9900 |
NPI Number | 1831154681 |
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Provider Enumeration Date | 04/17/2006 |
Last Update Date | 01/11/2021 |
Medicare PECOS PAC ID | 9436052677 |
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Medicare Enrollment ID | O20040127000937 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831154681 | NPI | - | NPPES |
DA3675 | Other | MN | RAILROAD MEDICARE |
496436500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 5584709 (Minnesota) | Primary |
Provider Name | Bruce V Gustafson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851313415 PECOS PAC ID: 3375444235 Enrollment ID: I20040119000415 |
Provider Name | Murray H Hanson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679595276 PECOS PAC ID: 0345143590 Enrollment ID: I20040127001009 |
Provider Name | Michelle J Muench |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1093733966 PECOS PAC ID: 3274584396 Enrollment ID: I20050208000042 |
Provider Name | Sandra K Paddock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801124565 PECOS PAC ID: 2769525963 Enrollment ID: I20100210000753 |
Provider Name | Michael G Richie |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1679594972 PECOS PAC ID: 3779486915 Enrollment ID: I20100818000730 |
Provider Name | Misty J Purfeerst |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174834022 PECOS PAC ID: 7911021555 Enrollment ID: I20100902000695 |
Provider Name | David E Malmanger |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700890803 PECOS PAC ID: 3375651672 Enrollment ID: I20110307000931 |
Provider Name | Stephanie M Donnelly |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1164811154 PECOS PAC ID: 8123346202 Enrollment ID: I20150422000300 |
Provider Name | Andrea Berube |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1205223989 PECOS PAC ID: 3577882760 Enrollment ID: I20150511001514 |
Provider Name | Mark A Weisbrod |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1316141914 PECOS PAC ID: 7911089321 Enrollment ID: I20150702002180 |
Provider Name | Abigail Lea Richie |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316397615 PECOS PAC ID: 8921392127 Enrollment ID: I20160811000301 |
Provider Name | Angella Lynn Schaefer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073900718 PECOS PAC ID: 7618280710 Enrollment ID: I20170419003003 |
Provider Name | Chelsea E Dyck |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1518470988 PECOS PAC ID: 9436419413 Enrollment ID: I20180213000827 |
Provider Name | Jeremy Mabis-rowe |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1841704293 PECOS PAC ID: 0547521130 Enrollment ID: I20180222000280 |
Provider Name | Michael Reinsbach |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1952712861 PECOS PAC ID: 8325398019 Enrollment ID: I20180829003933 |
Provider Name | Cory J Miller |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1114451259 PECOS PAC ID: 3870864341 Enrollment ID: I20210714001270 |
Provider Name | Joshua D Spedding |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821722042 PECOS PAC ID: 2860876877 Enrollment ID: I20220824003756 |
Allina Health Faribault Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-6683 | |
Advanced Hearing Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1645 Lyndale Ave N, #103, Faribault, MN 55021 Phone: 507-412-0855 | |
Midtown Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Central Ave N, Suite 2, Faribault, MN 55021 Phone: 507-384-3588 | |
Healthfinders Collaborative, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-323-8100 Fax: 833-974-2090 | |
Faribault Best Group Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 State Ave, Faribault, MN 55021 Phone: 612-454-1577 | |
Northfield Hospital & Clinics - Faribault Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1980 30th St Nw, Faribault, MN 55021 Phone: 507-333-5499 | |
Eye Care Associates Of Faribault Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 4th St Nw, Faribault, MN 55021 Phone: 507-334-0011 Fax: 507-331-0012 |