| Whelan Eye Care, Inc. | |
| 
					1900 Division St W Unit 5, Bemidji, MN 56601-6397  | |
| (218) 759-1430 | |
| (218) 444-9086 | 
| Full Name | Whelan Eye Care, Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 1900 Division St W Unit 5, Bemidji, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316955941 | NPI | - | NPPES | 
| 933718100 | Medicaid | MN | |
| 548523100 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 2110 (Minnesota) | Primary | 
| Provider Name | Lauren M Hazelton | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1912314774 PECOS PAC ID: 6608093174 Enrollment ID: I20170905003533  | 
| Provider Name | Kynndyl Paige Giannonatti | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1215599980 PECOS PAC ID: 6709111537 Enrollment ID: I20190716001024  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Whelan Eye Care, Inc. 1900 Division St W, Bemidji, MN 56601-6396 Ph: (218) 759-1430  | Whelan Eye Care, Inc. 1900 Division St W Unit 5, Bemidji, MN 56601-6397 Ph: (218) 759-1430  | 
Stephen J Vandyke, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1611 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-2020 Fax: 218-333-2019  | |
Vision Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1401 Paul Bunyan Dr Nw, Paul Bunyan Mall, Bemidji, MN 56601 Phone: 218-751-7255 Fax: 218-751-7256  | |
Germaine E Cheslock, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1611 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-2020 Fax: 218-333-2019  | |
Sanford Health Of Northern Minnesota Optometrist Medicare: Medicare Enrolled Practice Location: 1611 Anne St Nw, Ste 7, Bemidji, MN 56601 Phone: 218-333-2020 Fax: 218-333-2019  | |
Susan Tesch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1420 Bemidji Ave N, Bemidji, MN 56601 Phone: 218-759-1430  | |
Dr. Kynndyl Paige Giannonatti, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Division St W, Bemidji, MN 56601 Phone: 218-759-1430 Fax: 218-444-9086  |