| The Eye Doctors Office, Pa | |
|
747 Lake St E, Wayzata, MN 55391-1712 | |
| (952) 404-2020 | |
| (952) 404-0202 |
| Full Name | The Eye Doctors Office, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 747 Lake St E, Wayzata, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962527754 | NPI | - | NPPES |
| 261385900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Minnesota) | Primary |
| Provider Name | Timothy P Haupert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780777383 PECOS PAC ID: 1355336843 Enrollment ID: I20111201000295 |
| Provider Name | Victoria L Whitman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134538903 PECOS PAC ID: 5799906517 Enrollment ID: I20160816000402 |
| Provider Name | Brett Michael Hollenbach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669953873 PECOS PAC ID: 7416283312 Enrollment ID: I20190731000073 |
| Provider Name | Caroline Paige St. Ores |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649963752 PECOS PAC ID: 9830559665 Enrollment ID: I20230712001626 |
| Mailing Address | Practice Location Address |
|---|---|
| The Eye Doctors Office, Pa 747 Lake St E, Wayzata, MN 55391-1712 Ph: (952) 404-2020 | The Eye Doctors Office, Pa 747 Lake St E, Wayzata, MN 55391-1712 Ph: (952) 404-2020 |
Jerome Thomas Blaschke, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1160 Wayzata Blvd E, Wayzata, MN 55391 Phone: 952-473-7505 Fax: 952-473-9880 | |
Dr. Christopher Kruthoff, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 Central Ave N Ste 107, Wayzata, MN 55391 Phone: 763-416-7600 Fax: 763-416-7634 | |
Dr. Patricia M Winters, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 250 Central Ave N Ste 105, Wayzata, MN 55391 Phone: 763-416-7600 Fax: 952-475-2406 | |
Dr. Timothy P Haupert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 747 East Lake Street, Wayzata, MN 55391 Phone: 952-404-2020 Fax: 952-404-0202 | |
Rajni Shah, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 109 Bushaway Rd, Ste 300, Wayzata, MN 55391 Phone: 952-475-3787 | |
Family Eye Clinic & Contact Lens Center Optometrist Medicare: Medicare Enrolled Practice Location: 1160 Wayzata Blvd E, Wayzata, MN 55391 Phone: 952-473-7505 Fax: 952-473-9880 |