| 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  |