| Meredith Stallone, | |
| 
					14500 99th Ave N Ste 100, Maple Grove, MN 55369-4738  | |
| (763) 898-1000 | |
| Not Available | 
| Full Name | Meredith Stallone | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 14500 99th Ave N Ste 100, Maple Grove, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821589680 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | TUV008777 (New York) | Primary | 
| Provider Name | University Of Minnesota Physicians | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532  | 
| Provider Name | Fairview Health Services | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461  | 
| Provider Name | Fairview Clinics | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516  | 
| Provider Name | Fairview Express Care | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548  | 
| Provider Name | University Of Minnesota Health Clinics And Surgery Center Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524  | 
| Provider Name | Elton Eyecare Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1811430226 PECOS PAC ID: 9032455936 Enrollment ID: O20190115000305  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Meredith Stallone, 57 Benson Ave, Sayville, NY 11782-2916 Ph: () -  | Meredith Stallone, 14500 99th Ave N Ste 100, Maple Grove, MN 55369-4738 Ph: (763) 898-1000  | 
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: Medicare Enrolled Practice Location: 13195 Weaver Lake Rd, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957  | |
Renee M Ritzer, OD Optometrist Medicare: Medicare Enrolled 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  | |
Optometric Eye Care Centers, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 7880 Main St N, Maple Grove, MN 55369 Phone: 763-420-6981 Fax: 763-773-7253  | |
Maple Grove Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 9885 Maple Grove Parkway, Maple Grove, MN 55369 Phone: 952-807-4173  |