| Prairie Vision Center Pc | |
|
315 11th St N, Suite A, Wahpeton, ND 58075-4101 | |
| (701) 642-4090 | |
| (701) 642-9424 |
| Full Name | Prairie Vision Center Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 315 11th St N, Wahpeton, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952383713 | NPI | - | NPPES |
| 06508001 | Other | ND | BCBS ND |
| DD0757 | Other | ND | RAILROAD MEDICARE |
| 60611 | Medicaid | ND | |
| 4C632WE | Other | MN | BCBS MN |
| 749459900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 514 (North Dakota) | Primary |
| Provider Name | William J Welder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629097332 PECOS PAC ID: 5395798433 Enrollment ID: I20050309000218 |
| Provider Name | Jace H Picken |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194755249 PECOS PAC ID: 9830141613 Enrollment ID: I20111213000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Vision Center Pc 315 11th St N, Suite A, Wahpeton, ND 58075-4101 Ph: (701) 642-4090 | Prairie Vision Center Pc 315 11th St N, Suite A, Wahpeton, ND 58075-4101 Ph: (701) 642-4090 |
Dr. Jace Hunter Picken, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 315 11 St. N., Ste A, Prairie Vision Center, Wahpeton, ND 58075 Phone: 701-642-4090 Fax: 701-642-9424 | |
Mrs. Sarah Lynn Myron, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 Fax: 701-642-7055 | |
Benjamin Verkuilen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 332 2nd Ave N, Wahpeton, ND 58075 Phone: 701-642-7000 | |
Wahpeton Family Eyecare Center, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 517 Dakota Ave, Wahpeton, ND 58075 Phone: 701-642-9302 Fax: 701-642-4321 | |
Midwest Vision Centers, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 517 Dakota Ave, Wahpeton, ND 58075 Phone: 701-642-9302 Fax: 701-642-4321 | |
Shila K Lampl, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 275 11th St S, Wahpeton, ND 58075 Phone: 701-642-2000 Fax: 701-671-4106 | |
Dr. James Brian Connelly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 517 Dakota Ave, Wahpeton, ND 58075 Phone: 701-642-9302 Fax: 701-642-4321 |