| Prairie Vision Center | |
|
725 Center Ave, Ste 2, Moorhead, MN 56560-1958 | |
| (218) 233-2650 | |
| (218) 233-2928 |
| Full Name | Prairie Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 725 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 |
|---|---|---|---|
| 1639611791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 186 (Minnesota) | Primary |
| Provider Name | Jace H Picken |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194755249 PECOS PAC ID: 9830141613 Enrollment ID: I20170127000338 |
| Provider Name | Andrew Viet Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043066608 PECOS PAC ID: 6002340460 Enrollment ID: I20241108000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Vision Center 725 Center Ave, Ste 2, Moorhead, MN 56560-1958 Ph: (218) 233-2650 | Prairie Vision Center 725 Center Ave, Ste 2, Moorhead, MN 56560-1958 Ph: (218) 233-2650 |
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 |
Moorhead Vision Associates Optometrist Medicare: Medicare Enrolled 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 |
Moorhead Vision Associates 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 |
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 |
Ronald D Brandt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 725 Center Ave, Suite 2, Moorhead, MN 56560 Phone: 218-233-2650 |