Academy Contact Lens Clinic | |
2655 Innsbruck Dr, Suite B, New Brighton, MN 55112-9303 | |
(651) 636-2020 | |
(651) 633-5036 |
Full Name | Academy Contact Lens Clinic |
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Type | Facility |
Speciality | Optometrist |
Location | 2655 Innsbruck Dr, New Brighton, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639202559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2236 (Minnesota) | Primary |
Provider Name | John Cavanagh |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205921368 PECOS PAC ID: 4981817954 Enrollment ID: I20101105000118 |
Mailing Address | Practice Location Address |
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Academy Contact Lens Clinic 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112-9303 Ph: (651) 636-2020 | Academy Contact Lens Clinic 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112-9303 Ph: (651) 636-2020 |
Mr. John Mark Cavanagh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112 Phone: 651-636-2020 Fax: 651-633-5036 | |
Dr. David H. Hess, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2202 Rockstone Ln, New Brighton, MN 55112 Phone: 952-484-2040 |