| Total Eye Care Pa | |
|
3035 Denmark Ave Eagan MN 55121-2257 | |
| (651) 405-0963 | |
| (763) 746-2096 |
| Full Name | Total Eye Care Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3035 Denmark Ave, Eagan, Minnesota |
| Authorized Official Name and Position | Jeff Bruce Anderson (PRESIDENT) |
| Authorized Official Contact | 9523817611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Eye Care Pa 116 Krestwood Drive Burnsville MN 55337 Ph: (952) 223-1270 | Total Eye Care Pa 3035 Denmark Ave Eagan MN 55121-2257 Ph: (651) 405-0963 |
| NPI Number | 1407955420 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 05/20/2015 |
| Medicare PECOS PAC ID | 5991734691 |
|---|---|
| Medicare Enrollment ID | O20050811000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407955420 | NPI | - | NPPES |
| 2202941 | Other | MN | MEDICA |
| 2202818 | Other | MN | MEDICA |
| 979851041639 | Other | MN | PERFERRED ONE |
| 2203374 | Other | MN | MEDICA |
| 478947400 | Other | MN | MINNESOTA HEALTH CARE |
| 328M9AN | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2956 (Minnesota) | Primary |
| Provider Name | Jeffrey B Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598864514 PECOS PAC ID: 6800861733 Enrollment ID: I20040901001358 |
| Provider Name | Aleisha J Nordin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770546806 PECOS PAC ID: 6901873769 Enrollment ID: I20040913000570 |
| Provider Name | Shikha H Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205396835 PECOS PAC ID: 2668892969 Enrollment ID: I20210224001768 |
| Provider Name | Kelly Rd Mccarthy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295264547 PECOS PAC ID: 6002181757 Enrollment ID: I20210629001177 |
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