| Belle Plaine Eyecare Center Llc | |
|
168 Commerce Dr E, Belle Plaine, MN 56011-2901 | |
| (952) 873-5554 | |
| Not Available |
| Full Name | Belle Plaine Eyecare Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 168 Commerce Dr E, Belle Plaine, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730582735 | NPI | - | NPPES |
| 139494 | Other | MN | UCARE NUMBER |
| 498660000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3080 (Minnesota) | Primary |
| Provider Name | Zachary B Dirks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366640377 PECOS PAC ID: 1153413497 Enrollment ID: I20070816000591 |
| Provider Name | Matthew Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316352834 PECOS PAC ID: 4587882881 Enrollment ID: I20201123001473 |
| Provider Name | Emma Panning |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891535993 PECOS PAC ID: 3971047655 Enrollment ID: I20240705001633 |
| Mailing Address | Practice Location Address |
|---|---|
| Belle Plaine Eyecare Center Llc 320 Sunrise Dr, Saint Peter, MN 56082-1352 Ph: (507) 931-6436 | Belle Plaine Eyecare Center Llc 168 Commerce Dr E, Belle Plaine, MN 56011-2901 Ph: (952) 873-5554 |
Olde World Optical Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Belle Plaine, MN 56011 Phone: 952-873-2244 Fax: 952-873-2244 |