| Bright Eyes Vision Clinic, Pa | |
|
9125 Quaday Ave Ne, Suite 104, Otsego, MN 55330-6651 | |
| (763) 241-1090 | |
| Not Available |
| Full Name | Bright Eyes Vision Clinic, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9125 Quaday Ave Ne, Otsego, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720113947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jill Ak Schultz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932111911 PECOS PAC ID: 3476532391 Enrollment ID: I20040715000249 |
| Provider Name | Nina M Watercott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922363415 PECOS PAC ID: 8820245400 Enrollment ID: I20130729000302 |
| Provider Name | Shannon E Koenders |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902391626 PECOS PAC ID: 4688002843 Enrollment ID: I20200323000010 |
| Provider Name | Kelsey J Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154844017 PECOS PAC ID: 1759711120 Enrollment ID: I20200427000837 |
| Provider Name | Emily Nelsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386310787 PECOS PAC ID: 2860863727 Enrollment ID: I20230201000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Eyes Vision Clinic, Pa 9125 Quaday Ave Ne, Suite 104, Otsego, MN 55330-6651 Ph: () - | Bright Eyes Vision Clinic, Pa 9125 Quaday Ave Ne, Suite 104, Otsego, MN 55330-6651 Ph: (763) 241-1090 |
Dr. Kelsey Marie Manescalco, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15704 90th St Ne # 100, Otsego, MN 55330 Phone: 763-241-1090 | |
Dr. Amber Reinhart Scharnweber, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9125 Quaday Ave Ne, Suite #104, Otsego, MN 55330 Phone: 763-241-1090 | |
Advancements In Vision, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9125 Quaday Ave Ne, Suite 104, Otsego, MN 55330 Phone: 763-241-1090 | |
Dr. Pamela J Wendlandt, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 15704 90th St Ne, Suite 100, Otsego, MN 55330 Phone: 763-241-1090 Fax: 763-241-1091 | |
Dr. Zachary Unrau, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15704 90th St Ne Ste 100, Otsego, MN 55330 Phone: 763-241-1090 | |
Inna Timshina, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15704 90th St Ne, #100, Otsego, MN 55330 Phone: 763-241-1090 |