Dr Edward Augdahl, OD | |
Pearle Vision, 5515 Xerxes Ave North, Brooklyn Center, MN 55430 | |
(763) 560-1636 | |
(763) 560-4101 |
Full Name | Dr Edward Augdahl |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | Pearle Vision, Brooklyn Center, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720056641 | NPI | - | NPPES |
296N0AU | Other | BCBS | |
2203101 | Other | MN | MEDICA |
781138100 | Medicaid | MN | |
MN2571 | Other | MN | EYEMED |
24F55PE | Other | MN | BLUE CROSS/BLUE SHIELD |
513T1PE | Other | MN | BLUE CROSS/BLUE SHIELD |
1720056641 | Other | MN | HEALTHPARTNERS |
2260985 | Other | MN | AMERICA'S PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | MN2571 (Minnesota) | Primary |
Provider Name | Eda, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487706073 PECOS PAC ID: 6406910710 Enrollment ID: O20090202000282 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Augdahl, OD 5515 Xerxes Ave N, Brooklyn Center, MN 55430-2856 Ph: (763) 560-1636 | Dr Edward Augdahl, OD Pearle Vision, 5515 Xerxes Ave North, Brooklyn Center, MN 55430 Ph: (763) 560-1636 |
Terry Lucas, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1180 Brookdale Mall, Sp. #30, Brooklyn Center, MN 55430 Phone: 763-566-8166 Fax: 763-566-5627 | |
Jean M Tass, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 | |
Dr. Beth Anne Despiegelaere, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-3150 | |
Eunice Chang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 Fax: 952-993-4827 | |
Sandy Pham-vang, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7074 Brooklyn Blvd, Brooklyn Center, MN 55429 Phone: 763-316-4193 Fax: 763-363-0002 | |
Eye Doc Optometrist Medicare: Medicare Enrolled Practice Location: 7074 Brooklyn Blvd, Brooklyn Center, MN 55429 Phone: 763-316-4193 Fax: 763-363-0002 |