| Total Eye Care Llc | |
|
5200 Fairview Blvd, Wyoming, MN 55092-8013 | |
| (651) 257-8421 | |
| (651) 257-8464 |
| Full Name | Total Eye Care Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 5200 Fairview Blvd, Wyoming, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124166558 | NPI | - | NPPES |
| 827983700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Jarrod A Nelson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487785499 PECOS PAC ID: 4082606660 Enrollment ID: I20040401001703 |
| Provider Name | David M Sawyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285661207 PECOS PAC ID: 2062450745 Enrollment ID: I20050422000346 |
| Provider Name | Todd C Kavanagh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518956655 PECOS PAC ID: 9537175849 Enrollment ID: I20060223000559 |
| Provider Name | Michael D Eichler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164462081 PECOS PAC ID: 3577579317 Enrollment ID: I20060302000419 |
| Provider Name | Gunnar J Erickson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528061371 PECOS PAC ID: 8921065053 Enrollment ID: I20110111000832 |
| Provider Name | Mary A Bhavsar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447205810 PECOS PAC ID: 0345414108 Enrollment ID: I20111114000675 |
| Provider Name | Charles Joseph Kopp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366855629 PECOS PAC ID: 9234353889 Enrollment ID: I20140623000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Total Eye Care Llc 11725 Stinson Ave, Chisago City, MN 55013-9542 Ph: (651) 257-8421 | Total Eye Care Llc 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 257-8421 |