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NPI Code Detail

MEDICARE: SOUTHWEST EYE CARE INC

MEDICARE: SOUTHWEST EYE CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist
2156FX1800XOptician
3207W00000XOphthalmology Physician51388MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11770631889OTHERMNNPI CHRISTOPHER FREED
21801092960OTHERMNNPI
31881741213OTHERMNNPI AMY FREED
41487644969OTHERMNNPI SCOTT GLASER
51033193198OTHERMNNPI PATTY JILEK
61104975762OTHERMNNPI CHAD DOCKTER
71427052323OTHERMNNPI BERNIE ROTTACH

General Provider Information

NPI Number : 1679623862
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST EYE CARE INC
Provider Business Mailing Address
First Line : 1200 CHASKA CREEK WAY
Second Line : SUITE 110
City : CHASKA
State : MN
Zip : 55318-2525
Country : US
Telephone Number : 952-466-3937
Fax Number : 952-466-3936
Provider Business Practice Location Address
First Line : 1200 CHASKA CREEK WAY
Second Line : SUITE 110
City : CHASKA
State : MN
Zip : 55318-2525
Country : US
Telephone Number : 952-466-3937
Fax Number : 952-466-3936
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. CHRISTOPHER FREED
Credential : O.D.
Telephone Number : 952-466-3937
Provider Enumeration Date : 01/11/2007
Last Update Date : 01/15/2020

Similar Medicare Providers

1518934736 — DR. AHSAN M BHATTI MD
Practice Location Address:
1457 WHITE OAK DR
CHASKA, MN
55318-2525
Practice Phone: 952-368-3800
Practice Fax: 952-368-3801
1952406811 — ALAN GERARD RIESGRAF D.C.
Practice Location Address:
1476 WHITE OAK DR
CHASKA, MN
55318-2525
Practice Phone: 952-448-3900
Practice Fax:
1881741213 — AMY JEAN FREED O.D.
Practice Location Address:
1464 WHITE OAK DR
CHASKA, MN
55318-2525
Practice Phone: 952-466-3937
Practice Fax: 952-466-3936
1770631889 — DR. CHRISTOPHER J FREED O.D.
Practice Location Address:
1464 WHITE OAK DR
CHASKA, MN
55318-2525
Practice Phone: 952-466-3937
Practice Fax: 952-466-3936
1700906088 — ERIN JEAN KEECH PA-C
Practice Location Address:
1457 WHITE OAK DR
CHASKA, MN
55318-2525
Practice Phone: 952-368-3800
Practice Fax:
1598933186 — RIESGRAF CHIROPRACTOR CLINIC LTD
Practice Location Address:
1476 WHITE OAK DR
CHASKA, MN
55318-2525
Practice Phone: 952-448-3900
Practice Fax:

Directions to “SOUTHWEST EYE CARE INC ” Practice Location

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