| Stanton L Andrist & Casey C Bartz | |
|
420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | |
| (218) 233-1624 | |
| (218) 233-2058 |
| Full Name | Stanton L Andrist & Casey C Bartz |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 420 Center Ave, Moorhead, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164794780 | NPI | - | NPPES |
| 6682310001 | Other | MN | DMERC SUPPLIER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1532 (Minnesota) | Secondary |
| 152W00000X | Optometrist | 3196 (Minnesota) | Secondary |
| 152W00000X | Optometrist | 2021 (Minnesota) | Primary |
| Provider Name | Stanton Andrist |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336133586 PECOS PAC ID: 4880654151 Enrollment ID: I20101007001376 |
| Provider Name | Casey C Bartz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447480520 PECOS PAC ID: 2163617150 Enrollment ID: I20101116001105 |
| Provider Name | Patrick Williamson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750737979 PECOS PAC ID: 8325328875 Enrollment ID: I20220809002924 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanton L Andrist & Casey C Bartz 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 Ph: (218) 233-1624 | Stanton L Andrist & Casey C Bartz 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 Ph: (218) 233-1624 |
Thomas N Lorentzsen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Stanton L Andrist, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Thomas N Lorentzsen & Stanton L Andrist Ptr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Dr. Casey Clay Bartz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Picken Welder Optometry, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 725 Center Ave, Ste 2, Moorhead, MN 56560 Phone: 218-233-2650 Fax: 218-233-2928 | |
Dr. Patrick Alexander Williamson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 Center Ave Ste 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 |