| River Valley Eye Professionals | |
|
2019 Jefferson Rd Suite A Northfield MN 55057-3258 | |
| (507) 645-9202 | |
| (507) 645-9203 |
| Full Name | River Valley Eye Professionals |
|---|---|
| Speciality | Clinic/Center |
| Location | 2019 Jefferson Rd, Northfield, Minnesota |
| Authorized Official Name and Position | Patrick W O'neill (CFO) |
| Authorized Official Contact | 5076459202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Eye Professionals 2019 Jefferson Rd Suite A Northfield MN 55057-3258 Ph: (507) 645-9202 | River Valley Eye Professionals 2019 Jefferson Rd Suite A Northfield MN 55057-3258 Ph: (507) 645-9202 |
| NPI Number | 1518057553 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 06/03/2013 |
| Medicare PECOS PAC ID | 7810897964 |
|---|---|
| Medicare Enrollment ID | O20040113000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518057553 | NPI | - | NPPES |
| 176K8RI | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Nathan P Heilman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053390385 PECOS PAC ID: 2668563727 Enrollment ID: I20120917000336 |
| Provider Name | Garet Chayce Miliner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376111971 PECOS PAC ID: 7113328295 Enrollment ID: I20210628000191 |
| Provider Name | Kora a Bosworth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942939897 PECOS PAC ID: 9931581956 Enrollment ID: I20220808000127 |
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