| Cokato Eye Center, Inc. | |
|
115 Olsen Blvd, Cokato, MN 55321 | |
| (320) 286-5695 | |
| (320) 286-5742 |
| Full Name | Cokato Eye Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 115 Olsen Blvd, Cokato, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245303825 | NPI | - | NPPES |
| 432724100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Katie N Tancabel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376704940 PECOS PAC ID: 7416021399 Enrollment ID: I20080811000747 |
| Provider Name | Paul G Eklof |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932279551 PECOS PAC ID: 6709060312 Enrollment ID: I20110406000255 |
| Provider Name | Blake Kvidt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740779388 PECOS PAC ID: 9638427131 Enrollment ID: I20190402000242 |
| Provider Name | Anna Claire Aho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518537786 PECOS PAC ID: 4183028798 Enrollment ID: I20210804001425 |
| Mailing Address | Practice Location Address |
|---|---|
| Cokato Eye Center, Inc. Po Box 1060, 115 Olsen Blvd, Cokato, MN 55321 Ph: (320) 286-5695 | Cokato Eye Center, Inc. 115 Olsen Blvd, Cokato, MN 55321 Ph: (320) 286-5695 |
Paul G Eklof, OD Optometrist Medicare: Medicare Enrolled Practice Location: 115 Olsen Blvd, Cokato, MN 55321 Phone: 320-286-5695 Fax: 320-286-5742 |