| Minnesota Eyecare Network, Inc | |
| 
					340 Fox Street, Perham, MN 56573-1733  | |
| (218) 346-3310 | |
| (218) 346-3310 | 
| Full Name | Minnesota Eyecare Network, Inc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 340 Fox Street, Perham, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407960651 | NPI | - | NPPES | 
| 299206000 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Provider Name | William J Hartman | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1639183734 PECOS PAC ID: 7911985833 Enrollment ID: I20040708000647  | 
| Provider Name | Jeffrey L Mackner | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1598789893 PECOS PAC ID: 6507835667 Enrollment ID: I20040930000140  | 
| Provider Name | Timothy C Neitzke | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1033133517 PECOS PAC ID: 9133107089 Enrollment ID: I20100814000243  | 
| Provider Name | Kathryn Rose Olson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1336556091 PECOS PAC ID: 8628295664 Enrollment ID: I20140814001281  | 
| Provider Name | Elizabeth M Marshall | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1992321335 PECOS PAC ID: 4587080759 Enrollment ID: I20200818003664  | 
| Provider Name | Joshua Landon Mackner | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1346813276 PECOS PAC ID: 7618344326 Enrollment ID: I20221109003169  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Minnesota Eyecare Network, Inc 652 Jefferson Street, Wadena, MN 56482-2307 Ph: (218) 631-1456  | Minnesota Eyecare Network, Inc 340 Fox Street, Perham, MN 56573-1733 Ph: (218) 346-3310  | 
Dr. Timothy Charles Neitzke, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 340 Fox St, Perham, MN 56573 Phone: 218-346-3310 Fax: 218-346-9064  | |
Dr. Corey Becker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 222 Market Dr, Perham, MN 56573 Phone: 218-346-3073 Fax: 218-346-3074  | |
Kathryn Rose Olson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 340 Fox St, Perham, MN 56573 Phone: 218-346-3310 Fax: 218-346-9064  | |
Lakes Family Eyecare, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 235 W Main St, Perham, MN 56573 Phone: 701-346-3073 Fax: 701-346-3074  | |
Becker Optometry Pc Optometrist Medicare: Medicare Enrolled Practice Location: 222 Market Dr, Perham, MN 56573 Phone: 218-346-3073 Fax: 218-346-3074  |