| Costco Optical | |
|
11330 Fountains Dr, Maple Grove, MN 55369-7200 | |
| (763) 494-8063 | |
| (763) 494-8062 |
| Full Name | Costco Optical |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11330 Fountains Dr, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740313824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2827 (Minnesota) | Primary |
| Provider Name | Timothy J Nelson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215091616 PECOS PAC ID: 8628060548 Enrollment ID: I20040331001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Costco Optical 720 N 4th St Unit 704, Minneapolis, MN 55401-1950 Ph: (612) 743-1400 | Costco Optical 11330 Fountains Dr, Maple Grove, MN 55369-7200 Ph: (763) 494-8063 |
Scott A Frick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13645 Grove Dr N, Maple Grove, MN 55311 Phone: 763-420-8030 Fax: 763-420-9842 |
Tlc Of The Twin Cities Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11330 Fountains Dr, Maple Grove, MN 55369 Phone: 763-494-8061 |
Dr. Kelly Crenna, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13195 Weaver Lake Rd, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957 |
Renee M Ritzer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13195 Weaver Lake Road, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957 |
Dr. Brad Alan Weeks, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 12750 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-553-1811 Fax: 763-553-0131 |
Raymond Alex Chartier, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 13195 Weaver Lake Rd, Maple Grove, MN 55369 Phone: 763-420-5112 Fax: 763-420-6957 |
Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 7880 Main St N, Maple Grove, MN 55369 Phone: 763-420-6981 Fax: 763-773-7253 |