| Brainerd Eyecare Center, Pa | |
|
506 Laurel St, Brainerd, MN 56401-3526 | |
| (218) 829-0946 | |
| (218) 829-1279 |
| Full Name | Brainerd Eyecare Center, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 506 Laurel St, Brainerd, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942351002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
| Provider Name | Joshua J Hanske |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619380318 PECOS PAC ID: 6800112103 Enrollment ID: I20150304001104 |
| Provider Name | Taylor J Swanson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881058196 PECOS PAC ID: 5294003489 Enrollment ID: I20170612001838 |
| Provider Name | Alicia M Archibald Swanson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134583446 PECOS PAC ID: 4981972197 Enrollment ID: I20170612002597 |
| Provider Name | Michael K Monda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770146003 PECOS PAC ID: 5294069399 Enrollment ID: I20190624002019 |
| Mailing Address | Practice Location Address |
|---|---|
| Brainerd Eyecare Center, Pa 506 Laurel St, Brainerd, MN 56401-3526 Ph: (218) 829-0946 | Brainerd Eyecare Center, Pa 506 Laurel St, Brainerd, MN 56401-3526 Ph: (218) 829-0946 |
Alicia M Archibald Swanson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 506 Laurel St, Brainerd, MN 56401 Phone: 218-829-0946 Fax: 218-829-1279 | |
Bradley Louis Adams, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 S 6th St, Brainerd, MN 56401 Phone: 218-829-2020 Fax: 218-829-2303 | |
Joshua Hanske, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 506 Laurel St, Brainerd, MN 56401 Phone: 218-829-0946 Fax: 218-829-1279 | |
Dr. Michael Monda, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 506 Laurel St, Brainerd, MN 56401 Phone: 218-829-0946 | |
Mr. Andrew Sabir, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 S 6th St, Brainerd, MN 56401 Phone: 218-829-2020 | |
Brainerd Eyecare Center, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 506 Laurel St., Brainerd, MN 56401 Phone: 218-829-0946 Fax: 218-829-1279 | |
Taylor Jay Swanson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 506 Laurel St, Brainerd, MN 56401 Phone: 218-829-0946 |