| Northeast Eye Care Of Hugo | |
|
14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | |
| (651) 426-3630 | |
| Not Available |
| Full Name | Northeast Eye Care Of Hugo |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 14643 Mercantile Blvd, Hugo, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437276763 | NPI | - | NPPES |
| 226680000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2585 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Eye Care Of Hugo 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 Ph: (651) 426-3630 | Northeast Eye Care Of Hugo 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 Ph: (651) 426-3630 |
Dr. Michael S Petronack, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5679 147th St N, Hugo, MN 55038 Phone: 651-762-9545 Fax: 651-762-9542 | |
Dr. Petronack & Associates, Optometrists, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 5679 147th St N, Hugo, MN 55038 Phone: 651-762-9545 Fax: 651-762-9542 |