| Southwest Eye Care | |
| 
					1201 Greeley Ave N # 3, Glencoe, MN 55336-2135  | |
| (320) 864-2020 | |
| (320) 864-6684 | 
| Full Name | Southwest Eye Care | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 1201 Greeley Ave N # 3, Glencoe, Minnesota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144343252 | NPI | - | NPPES | 
| 617518000 | Medicaid | MN | |
| 1881741213 | Other | MN | NPI AMY | 
| 1922004514 | Other | MN | GREGORY MACIK | 
| 1104975762 | Other | MN | NPI CHAD DOCKTER | 
| 1770631889 | Other | MN | CHRISTOPHER FREED | 
| 650127300 | Medicaid | MN | |
| 958906600 | Medicaid | MN | |
| 683719100 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 2627 (Minnesota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Southwest Eye Care 1464 White Oak Dr, Chaska, MN 55318-2525 Ph: (952) 466-3937  | Southwest Eye Care 1201 Greeley Ave N # 3, Glencoe, MN 55336-2135 Ph: (320) 864-2020  | 
Dale E Nelson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1234 Greeley Ave N, Glencoe, MN 55336 Phone: 320-864-6111 Fax: 320-864-6134  | |
Dr. Aubree Thorseth, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 Greeley Ave N # 3, Glencoe, MN 55336 Phone: 320-864-2020  | |
Dr. Mark W Wellnitz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 Greeley Ave N # 3, Glencoe, MN 55336 Phone: 320-864-2020 Fax: 320-864-6678  |