| Quarry Optical, Inc. | |
|
153 Division St, Suite A, Waite Park, MN 56387 | |
| (320) 251-2020 | |
| (320) 252-7416 |
| Full Name | Quarry Optical, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 153 Division St, Waite Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811395544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 609 (South Dakota) | Primary |
| Provider Name | Jared J Fairbanks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881031524 PECOS PAC ID: 7416199617 Enrollment ID: I20130819000547 |
| Provider Name | Melissa Anna Shaffer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285833624 PECOS PAC ID: 5395830335 Enrollment ID: I20150918000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Quarry Optical, Inc. 153 Division St, Suite A, Waite Park, MN 56387 Ph: (320) 251-2020 | Quarry Optical, Inc. 153 Division St, Suite A, Waite Park, MN 56387 Ph: (320) 251-2020 |
Bennett W Nelson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Anna C Malikowski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-0365 | |
Minnesota Vision Group Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 206 W Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Burt Dubow, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Gregory Friederichs, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Granite City Family Eye Care Pa Optometrist Medicare: Medicare Enrolled Practice Location: 414 Great Oak Dr, Waite Park, MN 56387 Phone: 320-251-8061 Fax: 320-202-8031 | |
Dr. Lanette Green, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 |