Avera Medical Group Optometry Tracy is a
Optometrist based in Tracy, Minnesota. Avera Medical Group Optometry Tracy is licensed to practice in * (Not Available) (license number ) and their current practice location is
505 State St, Tracy, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(507) 629-3230.
NPI number for Avera Medical Group Optometry Tracy is 1487958062 and their current mailing address is 300 S Bruce St, Marshall, Minnesota. Avera Medical Group Optometry Tracy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1487958062.
Healthcare Provider's Profile
Full Name | Avera Medical Group Optometry Tracy |
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Type | Facility |
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Speciality | Optometrist |
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Location | 505 State St, Tracy, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487958062
- Provider Enumeration Date: 12/22/2010
- Last Update Date: 12/02/2022
Medical Identifiers
Medical identifiers for Avera Medical Group Optometry Tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487958062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Avera Medical Group Optometry Tracy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Avera Medical Group Optometry Tracy 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 532-9661 | Avera Medical Group Optometry Tracy 505 State St, Tracy, MN 56175-1539 Ph: (507) 629-3230 |
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