Heartland Eyecare Center | |
878 6th St, Dawson, MN 56232 | |
(320) 769-2977 | |
(320) 769-4322 |
Full Name | Heartland Eyecare Center |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 878 6th St, Dawson, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942395702 | NPI | - | NPPES |
044714500 | Medicaid | MN | |
163J8HE | Other | MN | BLUE PLUS |
97204 | Other | HEALTH PARTNERS | |
163J7HE | Other | MN | BLUE CROSS BLUE SHIELD |
126236 | Other | UCARE | |
114766 | Other | MN | UCARE MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2670 (Minnesota) | Primary |
152W00000X | Optometrist | 2671 (Minnesota) | Secondary |
Provider Name | Renae L Ries |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942216353 PECOS PAC ID: 1456340223 Enrollment ID: I20040507000482 |
Provider Name | James D Ries |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427064757 PECOS PAC ID: 4587653357 Enrollment ID: I20040507000505 |
Provider Name | Ashley M Hill |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811554744 PECOS PAC ID: 6204160484 Enrollment ID: I20190621000378 |
Mailing Address | Practice Location Address |
---|---|
Heartland Eyecare Center 878 6th Street, Dawson, MN 56232 Ph: (320) 769-2977 | Heartland Eyecare Center 878 6th St, Dawson, MN 56232 Ph: (320) 769-2977 |
Avera Marshall Optometrist Medicare: Not Enrolled in Medicare Practice Location: 878 6th St, Dawson, MN 56232 Phone: 320-769-2977 |