| Plymouth Vision Center, Inc. | |
|
3007 Harbor Ln N Ste 1500, Plymouth, MN 55447-5103 | |
| (763) 559-4669 | |
| (763) 559-4767 |
| Full Name | Plymouth Vision Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3007 Harbor Ln N Ste 1500, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902943822 | NPI | - | NPPES |
| 16F68PL | Other | MN | BS OF MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Tate M Herman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982895439 PECOS PAC ID: 7012002298 Enrollment ID: I20071003000138 |
| Provider Name | Nadia S Khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235350745 PECOS PAC ID: 7618024126 Enrollment ID: I20090420000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Plymouth Vision Center, Inc. 3007 Harbor Ln N Ste 1500, Plymouth, MN 55447-5103 Ph: (763) 559-4669 | Plymouth Vision Center, Inc. 3007 Harbor Ln N Ste 1500, Plymouth, MN 55447-5103 Ph: (763) 559-4669 |
Kennedy Vision Health Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257 | |
John Mueller Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4190 Vinewood Ln N Ste 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122 | |
Nicole Ann Solem, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 | |
Dr. Kelsey Moore, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257 | |
Visionsmith Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4190 Vinewood Ln N, Suite 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122 | |
Dr. Nadia Siddiqi Khan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3007 Harbor Ln N Ste 1500, Plymouth, MN 55447 Phone: 763-559-4669 Fax: 763-559-4767 | |
Chase Edward Eder, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-452-9381 |