<unavail> in Minneapolis, MN - Medicare Optometrist Provider

is a medicare enrolled "Optometrist" provider in Minneapolis, Minnesota. Their current practice location is 1800 2nd St Ne, Minneapolis, Minnesota. You can reach out to their office (for appointments etc.) via phone at (612) 789-1236.

is licensed to practice in Minnesota (license number 2605) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1720347875.

Contact Information


	1800 2nd St Ne, Minneapolis, MN 55418-4306
	(612) 789-1236
	(612) 706-5555

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Optometrist
Location	1800 2nd St Ne, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720347875
Provider Enumeration Date: 05/10/2012
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8628128022
Enrollment ID: O20090605000134

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720347875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2605 (Minnesota)	Primary
152WV0400X	Optometrist - Vision Therapy	2605 (Minnesota)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Michelle E Taylor
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1528090420 PECOS PAC ID: 0840218814 Enrollment ID: I20051108000660

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1800 2nd St Ne, Minneapolis, MN 55418-4306 Ph: (612) 789-1236	1800 2nd St Ne, Minneapolis, MN 55418-4306 Ph: (612) 789-1236

Reviews and Comments

Optometrist in Minneapolis, MN

Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3142 Hennepin Ave, Minneapolis, MN 55408 Phone: 612-822-7021
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4999 France Ave S, Suite 140, Minneapolis, MN 55410 Phone: 612-440-2020 Fax: 612-440-0202
Dr. Xuanmai Thi Ta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2718 Nicollet Ave, Suite No. 103, Minneapolis, MN 55408 Phone: 612-871-1518 Fax: 612-871-2585
Dr. Theodore Lester Hansen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 115 East Lake St, Minneapolis, MN 55408 Phone: 612-827-3857 Fax: 612-827-7204
Kari Maffitt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3553 Hennepin Ave, Minneapolis, MN 55408 Phone: 612-822-5844 Fax: 612-827-3418
Dr. David Paul Parupsky, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1304 4th St Se, Dinkytown Optical, Minneapolis, MN 55414 Phone: 612-331-7100 Fax: 612-331-7100
Moulay Younes Elidrissi, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 720 W Lake St # 107, Minneapolis, MN 55408 Phone: 612-216-4705

- Medicare Optometrist in Minneapolis, MN