Dr Eric J Thiem, OD | |
2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 | |
(651) 436-3356 | |
(651) 436-3394 |
Full Name | Dr Eric J Thiem |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 21 Years |
Location | 2070 Eagle Creek Ln Ste 200, Woodbury, 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 |
---|---|---|---|
1154363158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2938-035 (Wisconsin) | Secondary |
152W00000X | Optometrist | OEG001283 (Pennsylvania) | Secondary |
152W00000X | Optometrist | 2932 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aeg Wisconsin Professional Ltd | 1557372968 | 12 |
Eagan Eye Clinic Llc | 0345220745 | 34 |
Provider Name | Aeg Wisconsin Professional Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407801087 PECOS PAC ID: 1557372968 Enrollment ID: O20060524000191 |
Mailing Address | Practice Location Address |
---|---|
Dr Eric J Thiem, OD W13252 Scandi St, Ripon, WI 54971-9548 Ph: (920) 229-3564 | Dr Eric J Thiem, OD 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 Ph: (651) 436-3356 |
Dr. Sara Spear Kaminski, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 449 Commerce Drive, Woodbury, MN 55129 Phone: 651-354-1425 | |
Mrs. Emily Kay Bjore, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9965 Hudson Pl, Woodbury, MN 55125 Phone: 612-252-0046 Fax: 612-252-0047 | |
Douglas F Kilgore, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7150 Valley Creek Plz Ste 216, Woodbury, MN 55125 Phone: 651-738-4886 Fax: 651-738-3744 | |
Dr. Taylor Lauermann, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2070 Eagle Creek Ln, Woodbury, MN 55129 Phone: 651-436-3356 | |
Heather Jackson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129 Phone: 651-738-8040 Fax: 651-714-0759 | |
Dr. David Bertin Ness, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7150 Valley Creek Plz Ste 216, Woodbury, MN 55125 Phone: 651-738-4886 | |
Mr. Ryan Daniel Johnson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8362 Tamarack Village, Rm 108, Woodbury, MN 55125 Phone: 651-730-9662 |