| River Lake Clinic Llc | |
|
4323 E Lake St, Minneapolis, MN 55406-2307 | |
| (612) 722-1003 | |
| (612) 721-6336 |
| Full Name | River Lake Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4323 E Lake St, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902932965 | NPI | - | NPPES |
| Provider Name | Michel E Hanen-smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326119223 PECOS PAC ID: 4981659885 Enrollment ID: I20050314000703 |
| Provider Name | Sandra S Smith-hanen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750480679 PECOS PAC ID: 8820037229 Enrollment ID: I20050426000501 |
| Provider Name | Joshua Jessie Dewar Smith Hanen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407293061 PECOS PAC ID: 5395984769 Enrollment ID: I20130614000305 |
| Mailing Address | Practice Location Address |
|---|---|
| River Lake Clinic Llc 4323 E Lake St, Minneapolis, MN 55406-2307 Ph: (612) 722-1003 | River Lake Clinic Llc 4323 E Lake St, Minneapolis, MN 55406-2307 Ph: (612) 722-1003 |
Nicollet Vision Care Optometrists P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3142 Hennepin Ave, Minneapolis, MN 55408 Phone: 612-822-7021 | |
The Eye Doctors Office, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4999 France Ave S, Suite 140, Minneapolis, MN 55410 Phone: 612-440-2020 Fax: 612-440-0202 | |
Dr. Xuanmai Thi Ta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2718 Nicollet Ave, Suite No. 103, Minneapolis, MN 55408 Phone: 612-871-1518 Fax: 612-871-2585 | |
Dr. Theodore Lester Hansen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 115 East Lake St, Minneapolis, MN 55408 Phone: 612-827-3857 Fax: 612-827-7204 | |
Kari Maffitt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3553 Hennepin Ave, Minneapolis, MN 55408 Phone: 612-822-5844 Fax: 612-827-3418 | |
Dr. David Paul Parupsky, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1304 4th St Se, Dinkytown Optical, Minneapolis, MN 55414 Phone: 612-331-7100 Fax: 612-331-7100 | |
Moulay Younes Elidrissi, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 720 W Lake St # 107, Minneapolis, MN 55408 Phone: 612-216-4705 |