Advanced Vision Care Pa is a
Optometrist based in Jordan, Minnesota. Advanced Vision Care Pa is licensed to practice in Minnesota (license number 2848) and their current practice location is
223 1st St E Ste 101, Jordan, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(952) 492-2350.
NPI number for Advanced Vision Care Pa is 1053532929 and their current mailing address is 223 1st St E Ste 101, Jordan, Minnesota. Advanced Vision Care Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1053532929.
Healthcare Provider's Profile
| Full Name | Advanced Vision Care Pa |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 223 1st St E Ste 101, Jordan, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053532929
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 12/28/2011
Medical Identifiers
Medical identifiers for Advanced Vision Care Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| 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 | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2848 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Advanced Vision Care Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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