Total Eye Care Pa | |
4175 Vinewood Ln N Plymouth MN 55442-2624 | |
(763) 553-2883 | |
(240) 317-5185 |
Full Name | Total Eye Care Pa |
---|---|
Speciality | Optometrist |
Location | 4175 Vinewood Ln N, Plymouth, Minnesota |
Authorized Official Name and Position | Jeffrey Bruce Anderson (PRESIDENT) |
Authorized Official Contact | 9523817611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Total Eye Care Pa Po Box 747 Hollywood MD 20636-0747 Ph: (763) 746-2094 | Total Eye Care Pa 4175 Vinewood Ln N Plymouth MN 55442-2624 Ph: (763) 553-2883 |
NPI Number | 1407955420 |
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Provider Enumeration Date | 09/22/2006 |
Last Update Date | 05/14/2025 |
Medicare PECOS PAC ID | 5991734691 |
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Medicare Enrollment ID | O20050811000761 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407955420 | NPI | - | NPPES |
328M9AN | Other | MN | BLUE CROSS BLUE SHIELD |
2202818 | Other | MN | MEDICA |
2202941 | Other | MN | MEDICA |
478947400 | Other | MN | MINNESOTA HEALTH CARE |
2203374 | Other | MN | MEDICA |
979851041639 | Other | MN | PERFERRED ONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 2956 (Minnesota) | Secondary |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jeffrey B Anderson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598864514 PECOS PAC ID: 6800861733 Enrollment ID: I20040901001358 |
Provider Name | Aleisha J Nordin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770546806 PECOS PAC ID: 6901873769 Enrollment ID: I20040913000570 |
Provider Name | Shikha H Mehta |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205396835 PECOS PAC ID: 2668892969 Enrollment ID: I20210224001768 |
Provider Name | Kelly Rd Mccarthy |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295264547 PECOS PAC ID: 6002181757 Enrollment ID: I20210629001177 |
Wellway Medical P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2905 Northwest Blvd Ste 230, Plymouth, MN 55441 Phone: 612-367-4824 | |
Harmoni Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3021 Harbor Ln N, Plymouth, MN 55447 Phone: 612-501-6963 | |
Maverick Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9900 13th Ave N Ste 210, Plymouth, MN 55441 Phone: 612-310-2537 | |
Goebel Chiropractic And Family Wellness, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Vicksburg Ln N, Suite 11, Plymouth, MN 55447 Phone: 763-473-7000 Fax: 763-473-7002 | |
Y-chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10700 Highway 55, Suite 100, Plymouth, MN 55441 Phone: 763-543-9080 Fax: 763-543-9082 | |
Allina Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2855 Campus Dr Ste 400, Plymouth, MN 55441 Phone: 763-577-7400 Fax: 763-577-7440 | |
Cardiology Prevention, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Campus Dr Ste 44, Plymouth, MN 55441 Phone: 612-913-9758 |