Iris Vision Care, Llc. - Medicare Primary Care in Saint Cloud, MN

Iris Vision Care, Llc. is a medicare enrolled primary clinic (Clinic/center) in Saint Cloud, Minnesota. The current practice location for Iris Vision Care, Llc. is 1301 33rd St S, Suite 104, Saint Cloud, Minnesota. For appointments, you can reach them via phone at (320) 281-4787. The mailing address for Iris Vision Care, Llc. is 1301 33rd St S, Suite 104, Saint Cloud, Minnesota and phone number is (320) 281-4787.

Iris Vision Care, Llc. is licensed to practice in Minnesota (license number 2757). The clinic also participates in the medicare program and its NPI number is 1679708887. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (320) 281-4787.

Contact Information

Iris Vision Care, Llc.
1301 33rd St S
Suite 104
Saint Cloud
MN 56301-9668
(320) 281-4787
Not Available

Primary Care Clinic Profile

Full NameIris Vision Care, Llc.
SpecialityClinic/Center
Location1301 33rd St S, Saint Cloud, Minnesota
Authorized Official Name and PositionSally Beth Jackula (OWNER)
Authorized Official Contact3202814787
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Iris Vision Care, Llc.
1301 33rd St S
Suite 104
Saint Cloud
MN 56301-9668

Ph: (320) 281-4787
Iris Vision Care, Llc.
1301 33rd St S
Suite 104
Saint Cloud
MN 56301-9668

Ph: (320) 281-4787

NPI Details:

NPI Number1679708887
Provider Enumeration Date05/18/2009
Last Update Date05/18/2009

Medicare PECOS Information:

Medicare PECOS PAC ID2860538337
Medicare Enrollment IDO20091014000282

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Medical Identifiers

Medical identifiers for Iris Vision Care, Llc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679708887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 2757 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Iris Vision Care, Llc. acts as a billing entity for following providers:
Provider NameSally B Jackula
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1902804149
PECOS PAC ID: 3476569112
Enrollment ID: I20060303000518

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