Dr Douglas Roland Landsverk, OD | |
312 Minnesota Ave N, Aitkin, MN 56431-1414 | |
(218) 927-3213 | |
(218) 927-2266 |
Full Name | Dr Douglas Roland Landsverk |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 312 Minnesota Ave N, Aitkin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265483606 | NPI | - | NPPES |
2210683 | Other | MN | MEDICA |
5C924LA | Other | MN | BCBS |
097723300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1998 (Minnesota) | Primary |
Provider Name | Eyecare Centers Of Aitkin & Mcgregor Optometrists, Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437233079 PECOS PAC ID: 3971539685 Enrollment ID: O20050714000100 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Roland Landsverk, OD 312 Minnesota Ave N, Aitkin, MN 56431-1414 Ph: (218) 927-3213 | Dr Douglas Roland Landsverk, OD 312 Minnesota Ave N, Aitkin, MN 56431-1414 Ph: (218) 927-3213 |
Eyecare Centers Of Aitkin & Mcgregor Optometrists, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 312 Minnesota Ave. N, Aitkin, MN 56431 Phone: 218-927-3213 Fax: 218-927-2266 | |
Dr. Steven Anthony Kinzer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 312 Minnesota Ave N, Aitkin, MN 56431 Phone: 218-927-3213 Fax: 218-927-2266 |