Hutchinson Superstore Inc
A Medicare group practice based in Delano, MN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6901835636), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6901835636
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 3
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050811000990 | MN | Part B Supplier - Clinic/Group Practice | 1225127756 |
| O20200624001547 | MN | DME Supplier - Physician - Optometrist | 1851921951 |
| O20100930000501 | MN | DME Supplier - Physician - Optometrist | 1225127756 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Hutchinson Superstore Inc
- Eyewear Supplier
- Hutchinson, MN
- NPI 1225127756
-
Hutchinson Superstore Inc
- Optometrist
- Delano, MN
- NPI 1851921951
-
Hutchinson Superstore Inc.
- Eyewear Supplier
- Litchfield, MN
- NPI 1841389384
Practice locations
- Hutchinson, MN2
- Delano, MN2
- Litchfield, MN1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).
-
Matthew C Hoppe, O.D.
- Optometrist
- Hutchinson, MN
- NPI 1326066317
-
Mark Korthals, OD
- Optometrist
- Maple Grove, MN
- NPI 1215091749
-
Alex David Messner, OD
- Optometrist
- Hutchinson, MN
- NPI 1922797257
-
Abby Ann Trettin, O.D.
- Optometrist
- Hutchinson, MN
- NPI 1891283743
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.