Dr Luke Tae Jong Moore, MD | |
400 E 3rd St, Duluth, MN 55805-1951 | |
(218) 786-8364 | |
Not Available |
Full Name | Dr Luke Tae Jong Moore |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 400 E 3rd St, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023452182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 63520 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | Edina Eye Physicians And Surgeons Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538264981 PECOS PAC ID: 1355382698 Enrollment ID: O20050518000059 |
Mailing Address | Practice Location Address |
---|---|
Dr Luke Tae Jong Moore, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 783-8364 | Dr Luke Tae Jong Moore, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Jenny Yunjie Wang, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 502 E 2nd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Robert W Hollenhorst, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5007 Matterhorn Dr, Duluth, MN 55811 Phone: 218-720-3553 Fax: 218-786-9375 | |
Charles Earl Ahrens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4190 Loberg Ave, Duluth, MN 55811 Phone: 218-249-4600 Fax: 218-249-4666 | |
Dr. Daniel Ludvic Maryland, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 332 East Central Entrance, Duluth, MN 55811 Phone: 218-722-5871 | |
Dr. Kevin William Treacy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 324 W Superior St, 800 Medical Arts, Duluth, MN 55802 Phone: 218-249-3570 Fax: 218-722-8582 | |
Joseph Davis Morehouse, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3937 |