| Wallerich Eye Care Llc Dba Swoop Eye Care | |
|
817 E 66th St, Richfield, MN 55423-2506 | |
| (612) 488-1566 | |
| (612) 488-1564 |
| Full Name | Wallerich Eye Care Llc Dba Swoop Eye Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 817 E 66th St, Richfield, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194377671 | NPI | - | NPPES |
| 1881135093 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kelsey Marie Keltgen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609156835 PECOS PAC ID: 0042471732 Enrollment ID: I20121220000354 |
| Provider Name | Amanda A Pojanowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528310869 PECOS PAC ID: 6507165255 Enrollment ID: I20160502000002 |
| Provider Name | Michael Thomas Wallerich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881135093 PECOS PAC ID: 8123378767 Enrollment ID: I20180901000005 |
| Provider Name | Kelsey Marie Sieg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336590116 PECOS PAC ID: 5092067041 Enrollment ID: I20181003000264 |
| Mailing Address | Practice Location Address |
|---|---|
| Wallerich Eye Care Llc Dba Swoop Eye Care 817 E 66th St, Richfield, MN 55423-2506 Ph: (612) 488-1566 | Wallerich Eye Care Llc Dba Swoop Eye Care 817 E 66th St, Richfield, MN 55423-2506 Ph: (612) 488-1566 |
Benjamin Dean Brenner, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6625 Lyndale Ave S Ste 300, Richfield, MN 55423 Phone: 612-243-8999 Fax: 612-869-3473 | |
In House Senior Services, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778 Fax: 612-869-3473 | |
Dr. Raluca Otilia Sima, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 300, Richfield, MN 55423 Phone: 612-243-8999 | |
Dr. Christopher Bakouris, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6500 Penn Ave S, Richfield, MN 55423 Phone: 612-798-1720 | |
Susan Hemann, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6601 Lyndale Ave S Ste 160, Richfield, MN 55423 Phone: 612-869-1333 | |
Swoop Eye Clinic, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 817 E 66th St, Richfield, MN 55423 Phone: 612-488-1566 Fax: 612-488-1564 |