| Total Eye Care Pa | |
|
4175 Vinewood Ln N, Plymouth, MN 55442-2624 | |
| (763) 553-2883 | |
| (240) 317-5185 |
| Full Name | Total Eye Care Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4175 Vinewood Ln N, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407955420 | NPI | - | NPPES |
| 328M9AN | Other | MN | BLUE CROSS BLUE SHIELD |
| 2202818 | Other | MN | MEDICA |
| 2202941 | Other | MN | MEDICA |
| 478947400 | Other | MN | MINNESOTA HEALTH CARE |
| 2203374 | Other | MN | MEDICA |
| 979851041639 | Other | MN | PERFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | 2956 (Minnesota) | Secondary |
| Provider Name | Jeffrey B Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598864514 PECOS PAC ID: 6800861733 Enrollment ID: I20040901001358 |
| Provider Name | Aleisha J Nordin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770546806 PECOS PAC ID: 6901873769 Enrollment ID: I20040913000570 |
| Provider Name | Shikha H Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205396835 PECOS PAC ID: 2668892969 Enrollment ID: I20210224001768 |
| Provider Name | Kelly Rd Mccarthy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295264547 PECOS PAC ID: 6002181757 Enrollment ID: I20210629001177 |
| Mailing Address | Practice Location Address |
|---|---|
| Total Eye Care Pa Po Box 747, Hollywood, MD 20636-0747 Ph: (763) 746-2094 | Total Eye Care Pa 4175 Vinewood Ln N, Plymouth, MN 55442-2624 Ph: (763) 553-2883 |
Tyler Sealock, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 Fax: 763-559-2167 | |
Grant Sealock, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 Fax: 763-559-2167 | |
Kennedy Vision Health Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257 | |
John Mueller Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4190 Vinewood Ln N Ste 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122 | |
Nicole Ann Solem, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 | |
Dr. Kelsey Moore, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257 | |
Visionsmith Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4190 Vinewood Ln N, Suite 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122 |