Dr Benjamin Stout, OD | |
3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 | |
(651) 454-5661 | |
(651) 454-5669 |
Full Name | Dr Benjamin Stout |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 26 Years |
Location | 3930 Cedar Grove Pkwy, Eagan, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265437792 | NPI | - | NPPES |
004695700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2764 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eagan Eye Clinic Llc | 0345220745 | 34 |
Provider Name | Eagan Eye Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477732337 PECOS PAC ID: 0345220745 Enrollment ID: O20040726000300 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Stout, OD 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 Ph: (651) 454-5661 | Dr Benjamin Stout, OD 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 Ph: (651) 454-5661 |
Steven Jay Lusch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1340 Duckwood Dr, Suite 14, Eagan, MN 55123 Phone: 651-452-0344 Fax: 651-452-1564 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1278 Town Centre Dr Ste 155, Eagan, MN 55123 Phone: 612-851-0208 Fax: 651-686-2940 | |
Dr. Erin Carlson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3930 Cedar Grove Pkwy, Eagan, MN 55122 Phone: 651-454-5661 Fax: 651-454-5669 | |
Steel Optical Inc Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 995 Blue Gentian Rd, Eagan, MN 55121 Phone: 626-272-5693 | |
Family Vision Of Minnesota Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 995 Blue Gentian Rd, Eagan, MN 55121 Phone: 612-439-8075 | |
Robert Wilbert Hegerman Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1340 Duckwood Dr, Suite 14, Eagan, MN 55123 Phone: 651-452-0344 Fax: 651-452-1564 |