| Dr Bruce A Storhaug, OD | |
|
421 Demers Ave. Nw, East Grand Forks, MN 56721-1835 | |
| (218) 773-3438 | |
| (218) 773-1645 |
| Full Name | Dr Bruce A Storhaug |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 38 Years |
| Location | 421 Demers Ave. Nw, East Grand Forks, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275561482 | NPI | - | NPPES |
| 60458 | Medicaid | ND | |
| 349023800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2162 (Minnesota) | Primary |
| 152W00000X | Optometrist | 452 (North Dakota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forks Optometric Ltd | 2567365794 | 3 |
| Provider Name | Forks Optometric Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144357211 PECOS PAC ID: 2567365794 Enrollment ID: O20040127000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce A Storhaug, OD 306 Circle Hills Dr, Grand Forks, ND 58201-7750 Ph: (701) 780-9654 | Dr Bruce A Storhaug, OD 421 Demers Ave. Nw, East Grand Forks, MN 56721-1835 Ph: (218) 773-3438 |
Forks Optometric, Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 421 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-3438 Fax: 218-773-1645 | |
Dr. Destin Ross Coles, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 421 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-3438 Fax: 218-773-1645 | |
Dr. Steven Phillip Gander, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 421 Demers Ave. Nw, East Grand Forks, MN 56721 Phone: 218-773-3438 Fax: 218-773-1645 |