Dr Jeffrey E Smith, OD | |
13855 Round Lake Blvd Nw, Andover, MN 55304-3664 | |
(763) 421-0141 | |
(763) 421-0334 |
Full Name | Dr Jeffrey E Smith |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 13855 Round Lake Blvd Nw, Andover, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952461352 | NPI | - | NPPES |
114915 | Other | MN | UCARE |
56582330 | Medicaid | MN | |
16125 | Other | MN | HEALTH PARTNERS |
59780AN | Other | MN | BCBS |
2215383 | Other | FM | MEDICA |
747001 | Other | MN | PREFERREDONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1554 (Minnesota) | Primary |
Provider Name | Andover Optical Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972663383 PECOS PAC ID: 8022061993 Enrollment ID: O20050303000012 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey E Smith, OD 13855 Round Lake Blvd Nw, Andover, MN 55304-3664 Ph: (763) 421-0141 | Dr Jeffrey E Smith, OD 13855 Round Lake Blvd Nw, Andover, MN 55304-3664 Ph: (763) 421-0141 |
Advanced Eyecare Of Andover Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13855 Round Lake Blvd Nw, Andover, MN 55304 Phone: 763-421-0141 | |
Ms. Hemma Rusoff, VT Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2705 Bunker Lake Blvd., Suite B102, Andover, MN 55304 Phone: 651-492-8979 | |
Alicia M Yantes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3480 Bunker Lake Blvd Nw, Suite 101, Andover, MN 55304 Phone: 763-712-9854 | |
Ms. Kathy G Mulier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-572-5710 Fax: 763-862-4490 |