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NPI Code Detail

MEDICARE: FAMILY EYE CLINIC & CONTACT LENS CENTER

MEDICARE: FAMILY EYE CLINIC & CONTACT LENS CENTER
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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4CF8810OTHERMNRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
201012099OTHERMNPREFERRED ONE
316226FAOTHERMNBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1780671321
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY EYE CLINIC & CONTACT LENS CENTER
Provider Business Mailing Address
First Line : 1160 WAYZATA BLVD E
Second Line :
City : WAYZATA
State : MN
Zip : 55391-1963
Country : US
Telephone Number : 952-934-6926
Fax Number : 952-934-6926
Provider Business Practice Location Address
First Line : 16550 W 78TH ST STE A
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55346-4316
Country : US
Telephone Number : 952-934-6926
Fax Number : 952-473-9880
Authorized Official
Title or Position : RECEPTIONIST
Name : GLORIA REESE
Credential :
Telephone Number : 952-934-6926
Provider Enumeration Date : 09/29/2005
Last Update Date : 07/01/2024

Similar Medicare Providers

1588914014 — MISS HANNAH MARIE FRANZ PTA
Practice Location Address:
16550 W 78TH ST STE B
EDEN PRAIRIE, MN
55346-4316
Practice Phone: 952-873-7400
Practice Fax: 952-873-7408
1407265747 — BRITANY SCHULZ MS, ATR
Practice Location Address:
16550 W 78TH ST STE B
EDEN PRAIRIE, MN
55346-4316
Practice Phone: 952-873-7400
Practice Fax:
1841776770 — RACHEL NICOLE STRANG OD
Practice Location Address:
16550 W 78TH ST STE A
EDEN PRAIRIE, MN
55346-4316
Practice Phone: 952-934-6926
Practice Fax:
1639658412 — DR. SHANNON MICHAEL CARROLL-ROLFE DPT
Practice Location Address:
16550 W 78TH ST STE B
EDEN PRAIRIE, MN
55346-4316
Practice Phone: 952-873-7400
Practice Fax:
1487258141 — OSR PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice Location Address:
16550 W 78TH ST STE B
EDEN PRAIRIE, MN
55346-4316
Practice Phone: 952-873-7400
Practice Fax:
1679204010 — MICHAEL DUGINSKI PT, DPT
Practice Location Address:
16550 W 78TH ST STE B
EDEN PRAIRIE, MN
55346-4316
Practice Phone: 952-873-7400
Practice Fax: 952-873-7408

Directions to “FAMILY EYE CLINIC & CONTACT LENS CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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