| Granite Falls Eyecare Inc. | |
|
870 Prentice St, Granite Falls, MN 56241-1521 | |
| (320) 564-4997 | |
| (320) 564-2020 |
| Full Name | Granite Falls Eyecare Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 870 Prentice St, Granite Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851445464 | NPI | - | NPPES |
| 645512300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2337 (Minnesota) | Primary |
| Provider Name | Todd E Trudel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902850852 PECOS PAC ID: 4880665611 Enrollment ID: I20040805000663 |
| Provider Name | Jacob Bollman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811336043 PECOS PAC ID: 3274767454 Enrollment ID: I20131001000083 |
| Provider Name | Kassidy Winther |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023852027 PECOS PAC ID: 8123559846 Enrollment ID: I20241007000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Falls Eyecare Inc. 870 Prentice St, P.o. Box 127, Granite Falls, MN 56241-1521 Ph: (320) 564-4997 | Granite Falls Eyecare Inc. 870 Prentice St, Granite Falls, MN 56241-1521 Ph: (320) 564-4997 |
Dr. Todd E Trudel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 870 Prentice St, Granite Falls, MN 56241 Phone: 320-564-4997 Fax: 320-564-2020 |