| Advanced Vision Care Pa | |
|
223 1st St E Ste 101, Jordan, MN 55352-1563 | |
| (952) 492-2350 | |
| (952) 492-6162 |
| Full Name | Advanced Vision Care Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 223 1st St E Ste 101, Jordan, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053532929 | NPI | - | NPPES |
| 110122 | Other | MN | HEALTH PARTNERS CLINIC ID |
| 340K6VA | Other | MN | BCBS OF MN CLINIC ID |
| 480110500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2848 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Vision Care Pa 223 1st St E Ste 101, Jordan, MN 55352-1563 Ph: (952) 492-2350 | Advanced Vision Care Pa 223 1st St E Ste 101, Jordan, MN 55352-1563 Ph: (952) 492-2350 |
Dr. Kimberly Dawn Jedlicka, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 223 1st St E, Suite 101, Jordan, MN 55352 Phone: 952-492-2350 | |
Dr. Vicki Sue Luehmann, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 223 1st St E, Suite 101, Jordan, MN 55352 Phone: 952-492-2350 Fax: 952-492-6162 |