| Dakota Optometric Eye Care Associates, P.a. | |
|
1540 Humboldt Ave, Suite 201, Saint Paul, MN 55118-3417 | |
| (651) 457-2020 | |
| Not Available |
| Full Name | Dakota Optometric Eye Care Associates, P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1540 Humboldt Ave, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598773780 | NPI | - | NPPES |
| 1598773780 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1789 (Minnesota) | Primary |
| Provider Name | Laura L Flockencier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194929505 PECOS PAC ID: 8022104553 Enrollment ID: I20071015000439 |
| Provider Name | Matthew J Hennen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639527708 PECOS PAC ID: 1951696434 Enrollment ID: I20160823001431 |
| Provider Name | Rachel H Hennen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255818613 PECOS PAC ID: 6406108687 Enrollment ID: I20181017000179 |
| Provider Name | Nicole Rene Schmiedt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699399592 PECOS PAC ID: 1951727510 Enrollment ID: I20200813002605 |
| Provider Name | Janna L Mixan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770965659 PECOS PAC ID: 9335454560 Enrollment ID: I20250428002975 |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Optometric Eye Care Associates, P.a. 1540 Humboldt Ave Ste 201, West St Paul, MN 55118-3481 Ph: (651) 457-2020 | Dakota Optometric Eye Care Associates, P.a. 1540 Humboldt Ave, Suite 201, Saint Paul, MN 55118-3417 Ph: (651) 457-2020 |
Kennedy Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1790 Lexington Ave N, Saint Paul, MN 55113 Phone: 651-488-6771 Fax: 651-488-5576 | |
Maggie Scott, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1360 University Ave W Ste 106, Saint Paul, MN 55104 Phone: 651-251-0317 | |
Dr. Julie M Blenker, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 261 Ruth St N Ste E, Saint Paul, MN 55119 Phone: 651-739-5173 Fax: 651-739-8907 | |
John Heyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-241-7000 | |
Dr. Matthew Thomas Hendricks, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7500 | |
Broecker Eye & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 2356 University Ave W, Suite 260, Saint Paul, MN 55114 Phone: 651-645-8124 Fax: 651-645-8125 | |
Dr. David Andrew Spande, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 University Ave W, Optical Clinic, Saint Paul, MN 55104 Phone: 651-641-6181 Fax: 651-646-3292 |