Granite Falls Eyecare Inc
A Medicare group practice based in Granite Falls, MN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2163493081), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2163493081
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 3
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100930007285 | MN | DME Supplier - Physician - Optometrist | 1649324526 |
| O20100930086211 | MN | DME Supplier - Physician - Optometrist | 1851445464 |
| O20040804000737 | MN | Part B Supplier - Clinic/Group Practice | 1851445464 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Benson, MN2
- Granite Falls, MN2
- Ortonville, MN1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Jacob Peder Bollman, O.D.
- Optometrist
- Clarkfield, MN
- NPI 1811336043
-
Todd E Trudel, O.D.
- Optometrist
- Granite Falls, MN
- NPI 1902850852
-
Kassidy Winther, OD
- Optometrist
- Ortonville, MN
- NPI 1023852027
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.