| Dr Lanette Green, OD | |
|
206 Division St, Waite Park, MN 56387-1331 | |
| (320) 253-0365 | |
| Not Available |
| Full Name | Dr Lanette Green |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 206 Division St, Waite Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578607958 | NPI | - | NPPES |
| LA6042 | Other | LA | EYEMED PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6042T (Texas) | Secondary |
| 152W00000X | Optometrist | 1393-531T (Louisiana) | Secondary |
| 152W00000X | Optometrist | 3801 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lanette Green, OD 1205 20th Ave S, Sartell, MN 56377-2488 Ph: (337) 367-3834 | Dr Lanette Green, OD 206 Division St, Waite Park, MN 56387-1331 Ph: (320) 253-0365 |
Bennett W Nelson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Anna C Malikowski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-0365 | |
Insight Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 206 W Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Burt Dubow, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Gregory Friederichs, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 206 Division St, Waite Park, MN 56387 Phone: 320-253-0365 Fax: 320-253-9401 | |
Granite City Family Eye Care Pa Optometrist Medicare: Medicare Enrolled Practice Location: 414 Great Oak Dr, Waite Park, MN 56387 Phone: 320-251-8061 Fax: 320-202-8031 |