Organization
OPTOMETRY 2000 VISION CARE, INC
Active
Other names
MELROSE EYE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY FRANCIS GROETSCH O.D. (OPTOMETRIST)
(320) 256-4000
Entity
Organization
Contact information
Practice address
203 E MAIN ST STE B, MELROSE, MN 56352-1485
(320) 256-4000
(320) 256-4002
Mailing address
203 E MAIN ST STE B, MELROSE, MN 56352-1485
(320) 256-4000
(320) 256-4002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2082
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115186
UCARE GLASSES PROVIDER NU
MN
01
—
21-00019
MEDICA GLASSES PROV. NUMB
MN
05
—
380225600
—
MN
01
—
410049128
RAILROAD MEDICARE PROV. N
MN
01
—
5C705GR
BCBS GLASSES PROV. NUMBER
MN
01
—
MN2082
EYEMED PROVIDER NUMBER
MN
Enumeration date
09/08/2006
Last updated
04/22/2010
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