2015 Eye Care Provider Directory



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2015 Provider Directory for South Country Health Alliance programs: Medical Assistance MinnesotaCare Minnesota Senior Care Plus AbilityCare (HMO SNP) SingleCare (SNBC), SharedCare (SNBC) SeniorCare Complete (HMO SNP) This directory is for the South Country Health Alliance service area: Brown, Dodge, Freeborn, Goodhue, Kanabec, Morrison, Sibley, Steele, Todd, Wabasha, Wadena and Waseca. SeniorCare Complete and AbilityCare are health plans that contract with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in either plan depends on contract renewal. Updated September 2015 H2419, H5703_2757v2

SOUTH COUNTRY HEALTH ALLIANCE 2300 Park Drive, Suite 100 Owatonna, MN 55060 Member Services: 1-866-567-7242 (toll free) TTY users call 1-800-627-3529 or 711 Hours of Operation: October 1 February 14, 7 days a week, 8 a.m. 8 p.m. February 15 September 30, Monday Friday, 8 a.m. 8 p.m. Website: www.mnscha.org Email: members @mnscha.org South Country Health Alliance will accept all eligible people who choose South Country. We will not discriminate in regard to your physical or mental condition, health status, need for or receipt of health services, claims experience, medical history, genetic information, disability, marital status, age, sex, sexual orientation, national origin, race, color, religion, or political beliefs. South Country Health Alliance will not use any policy or practice that has the effect of such discrimination. Enrolling in this health plan does not guarantee you can see a particular provider on this list. If you want to make sure, you should call that provider to ask whether he or she is still part of this health plan. You should also ask if he or she is accepting new patients. This health plan may not cover all your health care costs. Read your contract or Evidence of Coverage carefully to find out what is covered. This information is available in other forms to people with disabilities by calling 1-866-567-7242 (toll free) or 711 (TTY for the hearing impaired), or through the Minnesota Relay at 1-800-627-3529 (TTY, Voice, ASCII, Hearing Carry Over), or 1-877-627-3848 (speech to speech relay service). American Indians can continue or begin to use Tribal and Indian Health Services (IHS) clinics. We will not require prior approval or impose any conditions for you to get services at these clinics. For enrollees age 65 years and older, this includes Elderly Waiver (EW) services accessed through the tribe. If a doctor or other provider in a Tribal or IHS clinic refers you to a provider in our network, we will not require you to see your health plan primary care provider prior to the referral. All providers in this directory accept both Medicaid and Medicare, unless otherwise noted.

How to Find the Care You Need This directory provides a list of South Country Health Alliance s (SCHA) eye care providers available to you as a South Country member. The eye care providers listed in this directory have agreed to provide you with your health care coverage. You may go to any of our network providers listed in this directory without referral. If you have been going to one network provider, you are not required to continue going to that same provider. The information printed in this directory was correct as of September 2015. A downloadable version of this document will also be posted on our website at www.mnscha.org under Programs and the program you are enrolled in. Any updates to this directory will be published on the website. You can also call Member Services at the number inside the front cover to help find a provider. If you are looking for or have questions about a specific provider, call Member Services. You can request a copy of this directory from Member Services in print or electronically. How do you find South Country Health Alliance providers in your area? This directory is organized alphabetically by city and by state, including Minnesota, North Dakota, and Wisconsin. If you have questions about South Country Health Alliance or require assistance in selecting a primary care provider, please call Member Services at the number on the inside front cover. Or visit www. mnscha.org. Evidence of Coverage To get detailed information about covered health care services, see your Evidence of Coverage.* It also tells what you must do to get covered services. It also explains your rights and responsibilities as a member of South Country. *For SeniorCare Complete members, your Member Handbook is your evidence of coverage document. Member Identification (ID) Cards Members get a health plan Member Identification (ID) Card. This card must be shown whenever you get health care. Service Accessibility If you require special access to obtain services from a provider, you can obtain more information by calling Member Services at the phone number listed on the inside front cover of this booklet. Or, visit www. mnscha.org. This could include, but is not limited to, access for services availability of flexible hours, wheelchair access, or parking lot access. Interpreter Services Hearing and language interpreter services are available to help you get services. Oral interpretation can be given to you in your language. You may be able to get written information in your language. For assistance, call Member Services at the phone number listed on the inside front cover. i

Aitkin, MN to Bemidji, MN Minnesota Aitkin, MN Eyecare Center of Aitkin 312 Minnesota Avenue N., Suite 1 Aitkin, MN 56431 218-927-3213 Office Phone Albert Lea, MN Innovision EyeCare - Albert Lea 232 S. Broadway Avenue Albert Lea, MN 56007 507-373-0627 Office Phone Mayo Clinic Health System Albert Lea & Austin Eye Clinic/Vision Plus 404 W. Fountain Street Albert Lea, MN 56007 507-373-8214 Office Phone Languages: Ukrainian Shopko Optical #4060 - Albert Lea 2610 N. Bridge Avenue Albert Lea, MN 56007 507-373-2269 Office Phone Alexandria, MN Lake Region Eye Center - Alexandria 610 30th Avenue W., Suite 200 Alexandria, MN 56308 320-763-7055 Office Phone Alexandria 3015 Highway 29 S. Alexandria, MN 56308 320-762-8104 Office Phone Runestone, Inc. 3015 Highway 29 S., Suite 4155 Alexandria, MN 56308 320-759-1130 Office Phone Andover, MN Fairview Clinics - Andover 13819 Hanson Boulevard N.W. Andover, MN 55304 763-572-5700 Office Phone Austin, MN Family Center of Austin, Inc. 200 14th Street N.W. Austin, MN 55912 507-437-3227 Office Phone 800-404-3027 Toll Free Innovision EyeCare - Austin 318 N. Broadway Austin, MN 55912 507-437-7768 Office Phone Mayo Clinic Health System Albert Lea & Austin Eye Center 1000 First Drive N.W. Austin, MN 55912 507-433-7351 Office Phone Shopko Optical #4041 - Austin 1209 18th Avenue N.W. Austin, MN 55912 507-437-8228 Office Phone Visionworks - Austin Oak Park Mall 1301 N.W. 18th Avenue Austin, MN 55912 507-437-6443 Office Phone Languages: Spanish Bagley, MN Sanford Health Bagley Eye Center 14 Second Street N.E. Bagley, MN 56621 218-694-2442 Office Phone Sanford Health Bagley Optical 14 Second Street N.E. Bagley, MN 56621 218-694-2442 Office Phone Barnesville, MN Minnesota Network, dba: Barnesville Eye Clinic 112 Front Street S. Barnesville, MN 56514 218-354-2510 Office Phone Baudette, MN Sanford Health Baudette Eye Center 103 Main Street, Suite B Baudette, MN 56623 218-634-1202 Office Phone Baxter, MN Crosby Eye Clinic - Baxter 7636 Design Road, Suite 105 Baxter, MN 56425 218-825-1976 Office Phone Lakes Area Eyecare 7734 Excelsior Road N. Baxter, MN 56425 218-829-2929 Office Phone Midwest Family Eye Center - Baxter 7870 Excelsior Road Baxter, MN 56425 218-828-9545 Office Phone MIZ, Inc., dba: Pearle Vision 15574 Edgewood Drive, Suite 103 Baxter, MN 56425 218-828-4024 Office Phone Pine River Eye Center, Inc., dba: Associates in - Baxter 14453 Edgewood Drive Baxter, MN 56425 218-829-1789 Office Phone Bemidji, MN J and D Optical, dba: Third Street Optical 212 Third Street Bemidji, MN 56601 218-751-8313 Office Phone Sanford Bemidji 1611 Eye Center & Optical 1611 Anne Street Bemidji, MN 56601 218-333-2020 Office Phone Sanford Bemidji Downtown Eye Center and Optical 506 Beltrami Avenue Bemidji, MN 56601 218-751-2020 Office Phone South Country Health Alliance Provider Directory for 1

Bemidji, MN to Coon Rapids, MN Bemidji, MN (continued) Sanford Bemidji Main Clinic 1300 Anne Street N.W. Bemidji, MN 56601 218-333-5000 Office Phone Vision Optical, Inc. - Bemidji 1401 Paul Bunyan Drive N.W. Bemidji, MN 56601 218-751-7255 Office Phone Whelan, Inc. 1900 Division Street W. Bemidji, MN 56601 218-759-1430 Office Phone Blaine, MN Fairview Clinics - Blaine 10961 Club W. Parkway N.E. Blaine, MN 55449 763-572-5700 Office Phone Bloomington, MN Allina Health Bloomington Clinic 7920 Cedar Avenue S. Bloomington, MN 55425 952-428-1800 Office Phone Brainerd, MN Brainerd Eyecare Center 506 Laurel Street Brainerd, MN 56401 218-829-0946 Office Phone Great Northern Opticians 2020 S. Sixth Street Brainerd, MN 56401 218-829-2020 Office Phone Northern Eye Center, PA - Brainerd 2020 S. Sixth Street Brainerd, MN 56401 218-829-2020 Office Phone Brooklyn Park, MN Fairview Clinics - Brooklyn Park 10000 Zane Avenue N. Brooklyn Park, MN 55443 763-572-5700 Office Phone Burnsville, MN Aggeus HealthCare, PC 1121 Emerson Court Burnsville, MN 55337 773-572-0030 Office Phone Languages: Russian Allina Health Burnsville Clinic 14000 Nichollet Avenue S., Suite 100 Burnsville, MN 55337 952-428-0200 Office Phone Edina Eye Physicians and Surgeons, PA - Burnsville 14050 Nicollet Avenue S. Burnsville, MN 55337 952-435-4170 Office Phone Byron, MN Byron 1067 Fourth Street NE., Suite 250 Byron, MN 55920 507-775-2001 Office Phone Cambridge, MN Allina Health Cambridge Clinic 701 S. Dellwood Street Cambridge, MN 55008 763-689-7700 Office Phone Languages: Dutch, German, Hindi, Marathi, Native American, Russian, Spanish, Tamil, Ukrainian, Urdu Cambridge Medical Center - Hospital 701 S. Dellwood Street Cambridge, MN 55008 763-689-7700 Office Phone Languages: Dutch, German, Hindi, Marathi, Native American, Russian, Spanish, Tamil, Ukrainian, Urdu Cannon Falls, MN Cannon Eye Clinic 6487 Cedar Hills Drive Cannon Falls, MN 55009 507-263-3949 Office Phone Champlin, MN Allina Health Champlin Clinic 11269 Jefferson Highway Champlin, MN 55316 763-236-0600 Office Phone Languages: Amharic, Arabic, Bengali, Filipino, French, German, Gujarati, Hindi, Hungarian, Kurdish, Malayalam, Norwegian, Spanish, Swedish, Tagalong, Tamil, Urdu, Yoruba Chanhassen, MN Edina Eye Physicians and Surgeons, PA - Chanhassen 7907 Powers Boulevard Chanhassen, MN 55317 952-906-7826 Office Phone Chaska, MN Lakeview Clinic - Chaska 110105 Pioneer Trail, Suite 100 Chaska, MN 55318 952-556-0120 Office Phone Languages: Spanish Columbia Heights, MN Fairview Clinics - Columbia Heights 4000 Central Avenue N.E. Columbia Heights, MN 55421 763-572-5700 Office Phone Coon Rapids, MN Allina Health Coon Rapids Clinic 9055 Springbrook Drive N.W. Coon Rapids, MN 55433 763-236-1090 Office Phone Languages: Amharic, Arabic, Bengali, Filipino, French, German, Greek, Gujarati, Hindi, Hungarian, Kannada, Kurdish, Malayalam, Native American, Norwegian, Polish, Punjabi, Russian, Spanish, Swahili, Swedish, Tagalong, Tamil, Telugu, Turkish, Ukrainian, Urdu, Yo 2 South Country Health Alliance Provider Directory for List subject to change

Cottage Grove, MN to Faribault, MN Cottage Grove, MN Allina Health Cottage Grove Clinic 8611 W. Point Douglas Road S. Cottage Grove, MN 55016 651-458-1884 Office Phone Languages: Arabic, French, Fukien, German, Native American, Norwegian, Polish, Russian, Spanish, Tagalong, Ukrainian Crosby, MN Crosby Eye Clinic One Third Avenue N.E. Crosby, MN 56441 218-546-5108 Office Phone Crosslake, MN Crosslake Eye Center 35280 County Road 3 Crosslake, MN 56442 218-692-4700 Office Phone Deer River, MN Eye Fashions Optical Shoppe, Inc. - Deer River 102 First Street Deer River, MN 56636 218-246-8450 Office Phone Detroit Lakes, MN Essentia Health Saint Mary's - Detroit Clinic 1027 Washington Avenue Detroit Lakes, MN 56501 218-844-2300 Office Phone Languages: Arabic, Breton, French, Norwegian, Russian, Swedish Sanford Health Detroit Lakes Clinic 1245 S. Washington Avenue Detroit Lakes, MN 56501 218-846-2000 Office Phone Duluth, MN Essentia Health Duluth Clinic 400 E. Third Street Duluth, MN 55805 218-786-8364 Office Phone Shopko Optical #4114 - Duluth 801 W. Central Entrance Duluth, MN 55811 218-727-7163 Office Phone Visionworks - Duluth Miller Hill Mall 1600 Miller Trunk Highway Duluth, MN 55811 218-727-6838 Office Phone Eagan, MN Allina Health Eagan Clinic 1110 Yankee Doodle Road Eagan, MN 55121 651-454-3970 Office Phone Languages: Arabic, Filipino, French, German, Hebrew, Hmong, Norwegian, Polish, Russian, Spanish, Tamil, Turkish Edina, MN Allina Health Centennial Lakes Clinic 7373 France Avenue S., Suite 202 Edina, MN 55435 952-428-0200 Office Phone Edina Eye Physicians and Surgeons, PA - Edina 7450 France Avenue S., Suite 100 Edina, MN 55435 952-832-8100 Office Phone Fairview Southdale Eye Center 6401 France Avenue S. Edina, MN 55435 612-672-7272 Office Phone Elk River, MN Allina Health Elk River Clinic 14181 Business Center Drive Elk River, MN 55330 763-236-0500 Office Phone Languages: Arabic, Bengali, Filipino, German, Gujarati, Hindi, Malayalam, Native American, Norwegian, Swedish, Tagalong, Tamil, Turkish Northwest Eye Clinic, PA - Elk River 18157 Carson Court N.W., Suite C Elk River, MN 55330 763-274-3449 Office Phone Visionworks - Elk River Elk Park Center 19166 Freeport Street Elk River, MN 55330 763-441-0741 Office Phone Fairmont, MN Family 1210 E. Blue Earth Avenue Fairmont, MN 56031 507-238-3363 Office Phone Mayo Clinic Health System Fairmont 800 Medical Center Drive Fairmont, MN 56031 507-238-8555 Office Phone Languages: Bengali, French, German, Hindi, Hindu, Hungarian, Malayalam, Romanian, Spanish, Tamil, Telugu, Urdu Shopko Optical #4059 - Fairmont 1001 S. Highway 15 Fairmont, MN 56031 507-238-9490 Office Phone Faribault, MN Allina Health Faribault Clinic 100 State Avenue Faribault, MN 55021 507-334-3921 Office Phone Allina Health Faribault Clinic Eye Services 100 State Avenue Faribault, MN 55021 507-332-5287 Office Phone Mayo Clinic Health System Faribault 300 State Avenue Faribault, MN 55021 507-333-3300 Office Phone Richie Eye Clinic - Faribault Clinic 1575 20th Street N.W., Suite 101 Faribault, MN 55021 507-332-9900 Office Phone Visionworks - Faribault Faribo West Mall 200 Western Avenue N.W. Suite D5 Faribault, MN 55021 507-334-7941 Office Phone South Country Health Alliance Provider Directory for 3

Farmington, MN to Hutchinson, MN Farmington, MN Allina Health Farmington Clinic 21260 Chippendale Avenue W. Farmington, MN 55024 651-463-7181 Office Phone Languages: Arabic, Filipino, Polish, Spanish Fergus Falls, MN Lake Region Healthcare Corporation 712 S. Cascade Street Fergus Falls, MN 56538 218-736-8000 Office Phone Fergus Falls 2001 W. Lincoln Avenue, Suite 19 Fergus Falls, MN 56537 218-739-2236 Office Phone Visionworks - Fergus Falls Westridge Mall 2001 W. Lincoln Avenue Suite 52 Fergus Falls, MN 56537 218-736-2636 Office Phone Foley, MN Bye and Molacek, PA - Foley 221 Fourth Avenue N. Foley, MN 56329 320-968-6015 Office Phone Fosston, MN Sanford Health Fosston Eye Center 111 Second Street N.E. Fosston, MN 56542 218-435-1010 Office Phone Sanford Health Fosston Optical 111 Second Street N.E. Fosston, MN 56542 218-435-1010 Office Phone Fridley, MN Fairview Clinics - Fridley 6341 University Avenue N.E. Fridley, MN 55432 763-572-5700 Office Phone Gaylord, MN Goldsmith - Gaylord 214 Fourth Street N. Gaylord, MN 55334 507-237-2015 Office Phone Glencoe, MN Shopko Eyecare Center #4732 3225 10th Street SE Glencoe, MN 55336 320-864-6005 Office Phone Golden Valley, MN Minnesota Vision Outreach, Inc. 5955 Golden Valley Road, Suite 108 Golden Valley, MN 55422 763-595-8414 Office Phone Northwest Eye Clinic, PA - Golden Valley Road 8501 Golden Valley Road, Suite 100 Golden Valley, MN 55427 763-416-7600 Office Phone Grand Rapids, MN Bonner Eye Clinic - Grand Rapids 1542 Golf Course Road, Suite 201 Grand Rapids, MN 55744 218-326-3433 Office Phone Eye Fashions Optical Shoppe, Inc. - Grand Rapids 202 N.W. First Avenue Grand Rapids, MN 55744 218-326-0358 Office Phone Eye Q Optometric Clinic, Ltd. 201 N.W. Fourth Street Grand Rapids, MN 55744 218-326-9619 Office Phone Vision Optical, Inc. - Grand Rapids 710 Pokegama Avenue S. Grand Rapids, MN 55744 218-326-1775 Office Phone Hastings, MN Allina Health First Street Clinic 1210 W. First Street Hastings, MN 55033 651-438-1800 Office Phone Languages: Arabic, Filipino, French, Hmong, Native American, Norwegian, Polish, Russian, Spanish, Tamil Henning, MN Lake Region Eye Center - Henning 603 Douglas Avenue Henning, MN 56551 218-583-4673 Office Phone Hermantown, MN Essentia Health Hermantown Clinic 4855 W. Arrowhead Road Hermantown, MN 55811 218-786-3540 Office Phone Hibbing, MN Bonner Eye Clinic - Hibbing 3605 Mayfair Avenue, Suite 2150 Hibbing, MN 55746 218-262-3156 Office Phone Hugo, MN Associated - Hugo 14688 Everton Avenue N., Suite 106 Hugo, MN 55038 651-275-3000 Office Phone Hutchinson, MN Apolade Inc. 1300 Trunk Highway 15 South Wal Mart Vision Center Hutchinson, MN 55350 320-587-0811 Office Phone Languages: German, Spanish Hutchinson 1060 Highway 15 S. Hutchinson, MN 55350 320-587-2370 Office Phone 4 South Country Health Alliance Provider Directory for List subject to change

Hutchinson, MN to Mankato, MN Hutchinson, MN (continued) Regional Eye Specialists, PA - Hutchinson 1455 Montreal Street S.E. Hutchinson, MN 55350 320-587-6308 Office Phone Shopko Optical #4023 - Hutchinson 125 Main Street N. Hutchinson, MN 55350 320-587-4945 Office Phone International Falls, MN Sanford Health International Falls Eye Clinic 1400 Highway 71 International Falls, MN 56679 218-595-5665 Office Phone Inver Grove Heights, MN Allina Health Inver Grove Heights Clinic 5565 Blaine Avenue Inver Grove Heights, MN 55076 651-241-9400 Office Phone Jackson, MN David M. Kruse, OD, PA 709 Second Street Jackson, MN 56143 507-847-5951 Office Phone Kasson, MN Kasson, PA 504 S. Mantorville Avenue, Suite 1 Kasson, MN 55944 507-634-4445 Office Phone Lake City, MN Ackermann Total 117 W. Center Street Lake City, MN 55041 651-345-3039 Office Phone Lake Crystal, MN Mankato Clinic - Lake Crystal 2212 S. Murphy Lake Crystal, MN 56055 507-726-2136 Office Phone Lakeville, MN Allina Health Lakeville Clinic 17599 Kenwood Trail Lakeville, MN 55044 952-428-0200 Office Phone Le Sueur, MN Mootz Eye Clinic 303 Valley Green Square Le Sueur, MN 56058 507-665-3366 Office Phone 800-518-3366 Toll Free Languages: Spanish Litchfield, MN Fischer Laser Eye Center, dba: Family Eye Center - Litchfield 715 N. Sibley Litchfield, MN 55355 320-593-2020 Office Phone Little Falls, MN Falls Optical, Inc. 119 N.E. First Street Little Falls, MN 56345 320-632-2391 Office Phone Little Falls Center, PA 313 S.E. First Street Little Falls, MN 56345 320-632-3676 Office Phone Little Falls 1948 First Avenue N.E. Little Falls, MN 56345 320-632-9201 Office Phone Northern Eye Center, PA - Little Falls 119 N.E. First Street Little Falls, MN 56345 320-632-2391 Office Phone Vision "Cents" Optical 118 E. Broadway Little Falls, MN 56345 320-632-1950 Office Phone Long Prairie, MN Minnesota Network, dba: Long Prairie Eye Clinic 249 Central Avenue Long Prairie, MN 56347 320-732-2002 Office Phone Vandesteeg and Larson Optometric Clinic, PA, dba: Dr. Stephen Larson - Long Prairie 240 Central Avenue Long Prairie, MN 56347 320-732-2313 Office Phone Madelia, MN Madelia Optometric, Inc. 115 Drew Avenue S.E. Suite 201 Madelia, MN 56062 507-642-3853 Office Phone 866-841-0646 Toll Free Languages: Spanish Mankato, MN Carlson Tillisch Eye Clinic - Mankato 220 E. Main Street, Suite A Mankato, MN 56001 507-345-5087 Office Phone Mankato Clinic - Wickersham Health Campus 1421 Premier Drive Mankato, MN 56001 507-385-4000 Office Phone Mankato Vision Center 1874 Madison Avenue Mankato, MN 56001 507-387-4227 Office Phone Shopko Optical #4021 - Mankato 1850 Madison Avenue Mankato, MN 56001 507-387-6517 Office Phone South Country Health Alliance Provider Directory for 5

Mankato, MN to Minnetonka, MN Mankato, MN (continued) Visionworks - Mankato River Hills Mall 1850 Adams Street Suite 112 Mankato, MN 56001 507-387-6358 Office Phone Maple Grove, MN Allina Health Maple Grove Clinic 7840 Vinewood Lane Maple Grove, MN 55369 763-236-0200 Office Phone Languages: Amharic, Arabic, Bengali, Filipino, French, German, Greek, Gujarati, Hindi, Hungarian, Kurdish, Malayalam, Native American, Norwegian, Spanish, Swedish, Tagalong, Tamil, Urdu, Yoruba Fairview Maple Grove Medical Center 14500 99th Avenue N. Maple Grove, MN 55369 763-898-1000 Office Phone Northwest Eye Clinic, PA - Maple Grove 12000 Elm Creek Boulevard, Suite 100 Maple Grove, MN 55369 763-416-7600 Office Phone Mapleton, MN Mankato Clinic - Mapleton 305 Main Street N.E. Mapleton, MN 56065 507-524-3835 Office Phone Marshall, MN Avera Marshall Southwest Ophthalmology 300 South Bruce Street Marshall, MN 56258 507-537-1427 Office Phone Languages: Interpreter Service Marshall 1420 E. College Drive Marshall, MN 56258 507-532-5771 Office Phone Midwest Vision Centers, dba: Taft Optical 203 Jewett Street Marshall, MN 56258 507-537-1976 Office Phone Shopko Optical #4025 - Marshall 1200 Susan Drive Marshall, MN 56258 507-537-9652 Office Phone McGregor, MN Eyecare Center of McGregor 241 W. Highway 210 McGregor, MN 55760 218-768-7000 Office Phone Milaca, MN Bye and Molacek, PA 132 Second Avenue S.W. Milaca, MN 56353 320-983-3434 Office Phone Minneapolis, MN Fairview Specialty Clinic for Children - University of MN Physicians 305 E. Nicollet Boulevard, Suite 372 Minneapolis, MN 55455 952-892-2910 Office Phone HCMC Parkside Opthalmology Clinic and Optical Shop 825 S. Eighth Street, Suite M16 Minneapolis, MN 55404 612-873-5777 Office Phone Lions Children's Hearing and ENT Clinic- University of MN Physicians 701 25th Avenue S., Suite 200 Minneapolis, MN 55454 612-626-6777 Office Phone MInneapolis, MN Minneapolis Medical Eye - University of MN Physicians 710 E. 24th Street, Suite 402 MInneapolis, MN 55404 612-871-3611 Office Phone Minneapolis, MN Minnesota Lions Children's Eye Clinic - University of MN Physicians 701 25th Avenue S. Minneapolis, MN 55454 612-626-6777 Office Phone Phillips Eye Institute 2215 Park Avenue Minneapolis, MN 55404 612-775-8800 Office Phone Phillips Eye Institute - Vision Rehab 2215 Park Avenue Minneapolis, MN 55404 612-775-8871 Office Phone University of MN Physicians - Eye Clinic 420 Delaware Street S.E. MMC 493, 516 Delaware Street S.E., Clinic 9A Minneapolis, MN 55455 612-626-3004 Office Phone Languages: Spanish Visionworks - Crystal Crystal Gallery Mall 5546 W. Broadway Avenue Suite 135 Minneapolis, MN 55428 763-537-8896 Office Phone Visionworks - Minneapolis Calhoun Square 3001 Hennepin Avenue S. Suite G-105 Minneapolis, MN 55408 612-822-4421 Office Phone Visionworks - Minneapolis Investors Building 733 Marquette Avenue Minneapolis, MN 55402 612-332-6656 Office Phone Minnetonka, MN Northwest Eye Clinic, PA - Minnetonka 6060 Clearwater Drive, Suite 150 Minnetonka, MN 55343 763-416-7600 Office Phone 6 South Country Health Alliance Provider Directory for List subject to change

Montevideo, MN to Osseo/Maple Grove, MN Montevideo, MN Montevideo 117 N. First Street Montevideo, MN 56265 320-269-2214 Office Phone Moorhead, MN Moorhead 3206 Eastern Shopping Center Moorhead, MN 56560 218-233-1867 Office Phone Visionworks - Moorhead Brookdale Shopping Center 2505 Eighth Street S. Moorhead, MN 56560 218-233-7695 Office Phone Mora, MN Kanabec County dba: FirstLight Eye Center 20 Union Street N. Mora, MN 55051 320-679-2020 Office Phone Kanabec County dba: FirstLight Health System 301 Highway 65 S. Mora, MN 55051 320-679-1212 Office Phone New London, MN Affiliated Community Medical Centers, PA - New London/Spicer 600 Peterson Parkway New London, MN 56273 320-354-2222 Office Phone Fischer Laser Eye Center, dba: Family Eye Center - New London 37 Central Avenue E. New London, MN 56273 320-354-2020 Office Phone New Prague, MN Edina Eye Physicians and Surgeons, PA - New Prague 314 E. Main Street New Prague, MN 56071 952-758-7892 Office Phone Goldsmith - New Prague 112 Main Street E. New Prague, MN 56071 952-758-2080 Office Phone New Ulm, MN Apolade Inc. Wal Mart Vision Center 1720 West Ridge Road New Ulm, MN 56073 507-354-0917 Office Phone Languages: German, Spanish Carlson Tillisch Eye Clinic - New Ulm 26 N. Broadway Street New Ulm, MN 56073 507-354-7407 Office Phone Drs. Akre & Clark, Ltd. 1715 S. Broadway New Ulm, MN 56073 507-354-8531 Office Phone Nisswa, MN Pine River Eye Center, Inc., dba: Associates in - Nisswa 5457 City Hall Street Nisswa, MN 56468 218-963-2020 Office Phone North Branch, MN Allina Health North Branch Clinic 38986 14th Avenue North Branch, MN 55056 651-674-0055 Office Phone Languages: Dutch, German Shopko Eyecare Center #4179 - North Branch 5630 St. Croix Trail North Branch, MN 55056 651-674-9951 Office Phone North Mankato, MN Mankato Clinic - North Mankato 1575 Lookout Drive North Mankato, MN 56003 507-625-5027 Office Phone Norwood, MN Lakeview Clinic - Norwood 406 Faxon Road Norwood, MN 55368 952-467-2888 Office Phone Olivia, MN Fischer Laser Eye Center, dba: Family Eye Center - Olivia 902 W. Lincoln Olivia, MN 56277 320-523-2020 Office Phone Onamia, MN Mille Lacs Band of Ojibwe, dba: Ne Ia Shing Clinic 43500 Migizi Drive Onamia, MN 56359 320-532-4163 Office Phone Mille Lacs Health System - Hospital 200 N. Elm Street Onamia, MN 56359 320-532-3154 Office Phone Osseo/Maple Grove, MN Apolade Inc. - Optical 11330 Fountains Drive N. Osseo/Maple Grove, MN 55369 763-494-8061 Office Phone Languages: German, Spanish Visionworks - Maple Grove 8081 Wedgewood Lane N. Osseo/Maple Grove, MN 55369 763-416-3795 Office Phone South Country Health Alliance Provider Directory for 7

Owatonna, MN to Red Wing, MN Owatonna, MN Gilthvedt Clinic Inc., dba: Horizon EyeCare Professionals 118 N. Oak Avenue Owatonna, MN 55060 507-451-3072 Office Phone Monson Center 127 W. Vine Street Owatonna, MN 55060 507-451-5300 Office Phone 800-779-5301 Toll Free Penny P. Vizina, O.D. LLC; dba Family Vision Care 121 W. Main Street Owatonna, MN 55060 507-451-5800 Office Phone The Optical Shop at Mayo Clinic Health System Owatonna 2200 26th Street NW Owatonna, MN 55060 507-451-1120 Office Phone 800-628-2538 Toll Free Languages: German, Portuguese, Spanish, Urdu Park Rapids, MN Bruhn Optical, Inc. 1011 First Street E. Park Rapids, MN 56470 218-732-8535 Office Phone Park Rapids Walker Eye Clinic OD, PA - Park Rapids 206 Pleasant Avenue Park Rapids, MN 56470 218-732-3389 Office Phone Paynesville, MN Fischer Laser Eye Center, dba: Family Eye Center - Paynesville 115 Washburne Paynesville, MN 56362 320-243-2020 Office Phone Pelican Rapids, MN Minnesota Network, dba: Pelican Rapids Eye Clinic 20 S. Broadway Pelican Rapids, MN 56572 218-863-7061 Office Phone Pequot Lakes, MN Pequot Eye Center 4461 Main Street Pequot Lakes, MN 56472 218-568-5555 Office Phone Perham, MN Minnesota Network, dba: Perham Eye Clinic 340 Fox Street Perham, MN 56573 218-346-3310 Office Phone Pierz, MN Falls Optical, Inc dba: Pierz Eyecare 112B S. Main Street Pierz, MN 56364 320-568-2020 Office Phone Pine City, MN Pine Eye Associates, PA 110 Evergreen Square Pine City, MN 55063 320-629-7262 Office Phone Pine River, MN Pine River Eye Center, Inc., dba: Associates in - Pine River 424 Barclay Avenue Pine River, MN 56474 218-587-2020 Office Phone Plainview, MN Plainview Eye Clinic 46 Third Street N.W. Plainview, MN 55964 507-534-1234 Office Phone 877-565-3687 Toll Free Languages: Spanish Plymouth, MN Northwest Eye Clinic, PA - Plymouth 2805 Campus Drive, Suite 105 Plymouth, MN 55441 763-416-7600 Office Phone Preston, MN Preston Eye Clinic 108 St. Anthony Street S. Preston, MN 55965 507-765-3839 Office Phone Ramsey, MN Allina Health Ramsey Clinic 7231 Sunwood Drive N.W. Ramsey, MN 55303 763-236-0000 Office Phone Languages: Amharic, Arabic, Bengali, Filipino, French, German, Gujarati, Hindi, Hungarian, Kurdish, Norwegian, Punjabi, Spanish, Swedish, Tagalong, Urdu, Yoruba Red Wing, MN Mayo Clinic Health System Red Wing 701 Hewitt Boulevard PO Box 95 Red Wing, MN 55066 651-267-5000 Office Phone 866-297-9215 Toll Free Languages: German, Tamil Red Wing 418 W. Third Street Red Wing, MN 55066 651-388-0738 Office Phone 8 South Country Health Alliance Provider Directory for List subject to change

Red Wing, MN to Saint Joseph, MN Red Wing, MN (continued) Red Wing Vision Care, LLC, dba: Pearle Vision 144 Tyler Road Red Wing, MN 55066 651-388-3838 Office Phone Struss Optical, Inc. 434 W. Third Street Red Wing, MN 55066 651-388-6922 Office Phone Redwood Falls, MN Affiliated Community Medical Centers, PA - Redwood Falls 1100 E. Broadway Redwood Falls, MN 56283 507-637-2985 Office Phone Avera Medical Group Optometry Redwood Falls 500 E. Bridge Street Redwood Falls, MN 56283 507-637-5715 Office Phone Languages: Interpreter Service Richfield, MN In House Senior Services, LLC 6600 Lyndale Avenue S., Suite 130 Richfield, MN 55423 612-243-8999 Office Phone Robbinsdale, MN Northwest Eye Clinic, PA - Robbinsdale 3366 Oakdale Avenue N., Suite 402 Robbinsdale, MN 55422 763-416-7600 Office Phone Rochester, MN Gibbons Optical, LLC Miracle Mile Shopping Center 150 17th Avenue N.W. Rochester, MN 55901 507-288-6964 Office Phone Lifetime 3632 N.W. Tenth Lane Suite 2 Rochester, MN 55901 507-282-7121 Office Phone Mayo Family Clinic Northeast 3041 Stonehedge Drive N.E. Rochester, MN 55905 507-538-8500 Office Phone Olmsted Medical Center 210 Ninth Street S.E. Rochester, MN 55903 507-288-3443 Office Phone Languages: Czech, French, Italian, Serbo- Croatian Rochester Family Eye Clinic, L.L.C. 3630 11th Avenue N.W. Rochester, MN 55901 507-288-2457 Office Phone Shopko Optical North #4036 - Rochester 3708 Highway 63 N. Rochester, MN 55906 507-281-0657 Office Phone Shopko Optical South #4035 - Rochester 2820 Highway 63 S. Rochester, MN 55904 507-281-0687 Office Phone Visionworks - Rochester Apache Mall 640 Apache Mall Rochester, MN 55902 507-252-1540 Office Phone Rogers, MN Northwest Eye Clinic, PA - Rogers 21395 John Milless Drive, Suite 200 Rogers, MN 55374 763-416-7600 Office Phone Roseville, MN Visionworks - Roseville Rosedale Shopping Center 501 Rosedale Center Roseville, MN 55113 651-631-8900 Office Phone Saint Anthony, MN Northwest Eye Clinic, PA - Saint Anthony 2601 39th Avenue N.E. Saint Anthony, MN 55421 763-416-7600 Office Phone Saint Cloud, MN Saint Cloud 2824 W. Division Street Saint Cloud, MN 56301 320-253-2020 Office Phone Shopko Optical East #4061 - Saint Cloud 501 Highway 10 S.E. Saint Cloud, MN 56304 320-253-4695 Office Phone Shopko Optical West #4017 - Saint Cloud 4161 Second Street S. Saint Cloud, MN 56301 320-253-5994 Office Phone Visionworks - Saint Cloud Crossroads Center 4201 W. Division Street Suite 90 Saint Cloud, MN 56301 320-259-1131 Office Phone Saint James, MN Dr. T. A. Pinke, Inc. 517 First Avenue S. Saint James, MN 56081 507-375-3737 Office Phone 888-389-4747 Toll Free Eyecare Center of St. James 517 First Avenue S. Saint James, MN 56081 507-375-4941 Office Phone 888-389-4747 Toll Free Olson Optical 302 First Avenue S. Saint James, MN 56081 507-375-2020 Office Phone Saint Joseph, MN Russell Eyecare and Associates, LLC - Saint Joseph 15 E. Minnesota Street, Suite 107 Saint Joseph, MN 56374 320-433-4326 Office Phone South Country Health Alliance Provider Directory for 9

Saint Louis Park, MN to Virginia, MN Saint Louis Park, MN Apolade Inc. - Optical 5801 W. 16th Street Saint Louis Park, MN 55416 763-582-9601 Office Phone Languages: German, Spanish Opti-Min, PA, dba: Whiting Clinic 7415 Wayzata Boulevard Saint Louis Park, MN 55426 952-475-3787 Office Phone Saint Paul, MN Allina Health Bandana Square Clinic 1021 Bandana Boulevard, Suite 100 Saint Paul, MN 55108 651-241-9700 Office Phone Associated - Saint Paul 280 N. Smith Avenue, Suite 840 Saint Paul, MN 55102 651-275-3000 Office Phone Visionworks - Saint Paul Highland Crossing 2116 Ford Parkway Saint Paul, MN 55116 651-699-1130 Office Phone Saint Peter, MN Mankato Clinic - Daniels Health Center 1901 N. Old Minnesota Avenue Saint Peter, MN 56082 507-934-2325 Office Phone Sauk Centre, MN Vandesteeg and Larson Optometric Clinic, PA, dba: Dr. Stephen Larson - Sauk Centre 314 Main Street Sauk Centre, MN 56378 320-352-2774 Office Phone Sauk Rapids, MN Infinite of Sauk Rapids 210 Second Avenue N. Sauk Rapids, MN 56379 320-257-4990 Office Phone Shakopee, MN Edina Eye Physicians and Surgeons, PA - Shakopee 4201 Dean Lakes Boulevard Shakopee, MN 55379 952-445-5760 Office Phone Sleepy Eye, MN Lifetime Eyecare Center 105 Main Street W. Sleepy Eye, MN 56085 507-794-2126 Office Phone 888-274-0193 Toll Free Languages: German, Spanish Spring Valley, MN Spring Valley Eye Clinic 214 N Broadway Street Spring Valley, MN 55975 507-346-7555 Office Phone Springfield, MN Avera Medical Group - Springfield 602 North Jackson Avenue Springfield, MN 56087 507-723-6548 Office Phone Languages: Interpreter Service Staples, MN Midwest Family Eye Center - Staples 200 First Street N.E., Suite 2 Staples, MN 56479 218-894-5480 Office Phone Northern Eye Center, PA - Staples 200 N. First Street Staples, MN 56479 218-894-5480 Office Phone Staples Eye Clinic 222 Fourth Street N.E. Staples, MN 56479 218-894-1331 Office Phone Stillwater, MN Associated - Stillwater 2950 Curve Crest Boulevard Stillwater, MN 55082 651-275-3000 Office Phone Visionworks - Stillwater Stillwater Marketplace 1960 Market Drive Stillwater, MN 55082 651-439-3049 Office Phone Thief River Falls, MN Thief River Falls 211 LaBree Avenue N. Thief River Falls, MN 56701 218-681-5606 Office Phone Sanford Health Southeast Campus 1720 Highway 59 S. Thief River Falls, MN 56701 218-681-4747 Office Phone Sanford Health Thief River Falls Eye Center and Optical 1720 Hwy 59 S. Thief River Falls, MN 56701 218-683-3937 Office Phone Sanford Thief River Falls 3001 Sanford Parkway Thief River Falls, MN 56701 218-681-4240 Office Phone Tracy, MN Avera Medical Group Optometry - Tracy 505 State Street Tracy, MN 56175 507-629-3230 Office Phone Virginia, MN Virginia 1416 S. 12th Avenue Virginia, MN 55792 218-749-1200 Office Phone 10 South Country Health Alliance Provider Directory for List subject to change

Wabasha, MN to Winona, MN Wabasha, MN Wabasha Eye Clinic 183 Main Street W. Wabasha, MN 55981 651-565-3687 Office Phone 877-565-3687 Toll Free Languages: Spanish Waconia, MN Edina Eye Physicians and Surgeons, PA - Waconia 550 S. Maple Waconia, MN 55387 952-442-4445 Office Phone Lakeview Clinic - Waconia 424 State Highway 5 W. Waconia, MN 55387 952-442-4461 Office Phone Wadena, MN Wadena 318 Jefferson Street S. Wadena, MN 56482 218-631-3300 Office Phone Minnesota Network, dba: Neitzke Eye Clinic 315 Jefferson Street Wadena, MN 56482 218-631-1456 Office Phone Wadena Eye Clinic, Ltd. 222 First Street S.E. Wadena, MN 56482 218-631-2020 Office Phone Walker, MN Park Rapids Walker Eye Clinic OD, PA - Walker 107 Sixth Street S. Walker, MN 56484 218-547-3666 Office Phone Waseca, MN Monson Center 1270 N. State Street Waseca, MN 56093 507-835-4558 Office Phone Waseca Optometric Center 1111 Second Street N.E. Waseca, MN 56093 507-835-2020 Office Phone Watertown, MN Lakeview Clinic - Watertown 309 Jefferson Avenue S.W. Watertown, MN 55388 952-955-1921 Office Phone Wayzata, MN Northwest Eye Clinic, PA - Wayzata 250 N. Central Avenue, Suite 107 Wayzata, MN 55391 763-416-7600 Office Phone Wells, MN Mayo Clinic Health System Albert Lea & Austin-Wells Clinic 301 S. Broadway Avenue Wells, MN 56097 507-553-6341 Office Phone Mayo Clinic Health System Albert Lea & Austin-Wells Clinic Wells Vision Plus 301 S. Broadway Avenue Wells, MN 56097 507-553-5537 Office Phone Languages: Ukrainian West Saint Paul, MN Allina Health West Saint Paul Clinic 150 E. Emerson Avenue West Saint Paul, MN 55118 651-241-1800 Office Phone Languages: Arabic, Filipino, French, Hmong, Korean, Native American, Polish, Russian, Spanish, Tamil Visionworks - West Saint Paul Signal Hills Center 16 Signal Hills Center West Saint Paul, MN 55118 651-451-7232 Office Phone Willmar, MN Affiliated Community Medical Centers, PA - Skylark Center 1604 First Street S. Willmar, MN 56201 320-231-5000 Office Phone Affiliated Community Medical Centers, PA - Willmar 101 Willmar Avenue S.W. Willmar, MN 56201 320-231-5000 Office Phone Fischer Laser Eye Center, dba: Family Eye Center - Willmar 1801 19th Avenue S.W. Willmar, MN 56201 320-235-2020 Office Phone Willmar 1605 First Street S. Willmar, MN 56201 320-235-5853 Office Phone Russell Eyecare and Associates, LLC - Willmar 700 19th Avenue S.E. Willmar, MN 56201 320-231-9726 Office Phone Visionworks - Willmar Kandi Mall 1605 S. First Street Willmar, MN 56201 320-235-9060 Office Phone Windom, MN Avera Medical Group Optometry Windom 1006 Fourth Avenue Windom, MN 56101 507-831-2429 Office Phone Languages: Interpreter Service Winona, MN Shopko Optical #4057 - Winona 405 Cottonwood Drive Winona, MN 55987 507-452-6175 Office Phone South Country Health Alliance Provider Directory for 11

Winona, MN to Wahpeton, ND Winona, MN (continued) Visionworks - Winona Winona Mall 1213 Gilmore Avenue Winona, MN 55987 507-454-1792 Office Phone Winona Health Services 859 Mankato Avenue Suite 330 Winona, MN 55987 507-474-4760 Office Phone Woodbury, MN Allina Health Woodbury Clinic 8675 Valley Creek Road Woodbury, MN 55125 651-501-3000 Office Phone Languages: Arabic, Chinese, Filipino, French, Fukien, German, Gujarati, Hindi, Hmong, Korean, Marathi, Native American, Nepali, Polish, Russian, Spanish, Swahili, Tagalong, Tamil, Telugu, Turkish, Ukrainian, Urdu Associated - Woodbury City Center Professional Building, 1625 Radio Drive, Suite 310 Woodbury, MN 55125 651-275-3000 Office Phone Visionworks - Woodbury City Centre East 1785 Radio Drive Suite B Woodbury, MN 55125 651-501-0920 Office Phone Worthington, MN Avera Medical Group Optometry Worthington 702 10th Street Worthington, MN 56187 507-376-5535 Office Phone Shopko Optical #4058 - Worthington 1755 N. Humiston Avenue Worthington, MN 56187 507-372-7811 Office Phone Zumbrota, MN Zumbrota, LLC 352 S. Main Street Zumbrota, MN 55992 507-732-5013 Office Phone North Dakota Bismarck, ND Bismarck 738 Kirkwood Mall Bismarck, ND 58504 701-258-8810 Office Phone Fargo, ND Bergstrom Eye and Laser Clinic 2601 University Drive S. Fargo, ND 58103 701-235-5200 Office Phone Essentia Health South University Clinic - Innovis 1702 S. University Drive Fargo, ND 58103 701-364-3300 Office Phone Fargo 3051 25th Street S. Fargo, ND 58103 701-234-0766 Office Phone Sanford 1717 Medical Building 1717 S. University Drive Fargo, ND 58103 701-234-2000 Office Phone Sanford Clinic 2801 South University 2801 S. University Drive Fargo, ND 58103 701-234-5673 Office Phone Sanford South University 1720 S. University Drive Fargo, ND 58103 701-280-4150 Office Phone Sanford South University Eye Center and Optical 1717 S. University Drive Fargo, ND 58103 701-234-2305 Office Phone Sanford Southpointe Clinic 2400 32nd Avenue S. Fargo, ND 58103 701-234-8800 Office Phone Sanford Southpointe Eye Center & Optical 2400 32nd Avenue S. Fargo, ND 58103 701-234-3640 Office Phone Grand Forks, ND Grand Forks 2800 S. Columbia Road, Suite 301 Grand Forks, ND 58201 701-757-4100 Office Phone Minot, ND Minot 2400 Tenth Street S.W. Minot, ND 58701 701-852-6836 Office Phone Valley City, ND Sanford Health Valley City Eye Center and Optical 253 N. Central Avenue Valley City, ND 58072 701-845-1511 Office Phone Wahpeton, ND Essentia Health Wahpeton Clinic - Innovis 275 S. 11th Street Wahpeton, ND 58075 701-642-2000 Office Phone Wahpeton 517 Dakota Avenue Wahpeton, ND 58075 701-642-9302 Office Phone Sanford Health Wahpeton Clinic 332 Second Avenue N. Wahpeton, ND 58075 701-642-7000 Office Phone Sanford Health Wahpeton Eye Center and Optical 332 Second Avenue N. Wahpeton, ND 58075 701-642-7055 Office Phone 12 South Country Health Alliance Provider Directory for List subject to change

Chippewa Falls, WI to Superior, WI Wisconsin Chippewa Falls, WI Shopko Optical #4037 - Chippewa Falls 2677 S. Prairie View Road Chippewa Falls, WI 54729 715-726-1671 Office Phone Superior, WI Essentia Health Saint Mary's - Superior Clinic 3500 Tower Avenue Superior, WI 54880 715-395-5454 Office Phone Eau Claire, WI Shopko Optical #4024 - Eau Claire 963 W. Clairemont Avenue Eau Claire, WI 54701 715-832-7723 Office Phone La Crosse, WI Shopko Optical #4007 - La Crosse 4344 Mormon Coulee Road La Crosse, WI 54601 608-788-8800 Office Phone Visionworks - La Crosse Valley View Mall 3800 State Road 16 La Crosse, WI 54601 608-781-8215 Office Phone New Richmond, WI Associated - New Richmond 821 W. Eighth Street New Richmond, WI 54017 651-275-3000 Office Phone Onalaska, WI Shopko Optical #4099 - Onalaska 9366 State Road 16 Onalaska, WI 54650 608-781-2010 Office Phone Rice Lake, WI Shopko Optical #4132 - Rice Lake 320 S. Access Road Rice Lake, WI 54868 715-236-7906 Office Phone South Country Health Alliance Provider Directory for 13

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2300 Park Drive, Suite 100 Owatonna, MN 55060 Questions? Contact Member Services: 1-866-567-7242 (toll free) TTY/Relay Service 711 or 1-800-627-3529 email: members@mnscha.org or visit our website: www.mnscha.org