NPIMap

Moose Lake Eye Care LLC

A Medicare group practice based in Hinckley, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1557542982), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557542982The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20110218000074 MN Part B Supplier - Clinic/Group Practice 1548580228
O20190419000350 MN DME Supplier - Physician - Optometrist 1700263985
O20120508000252 MN DME Supplier - Physician - Optometrist 1548580228

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page