Dr Samuel Elijah Lupkes, OD | |
300 Western Ave Nw Ste 100 1/2, Faribault, MN 55021-4528 | |
(916) 747-0029 | |
Not Available |
Full Name | Dr Samuel Elijah Lupkes |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 300 Western Ave Nw Ste 100 1/2, Faribault, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689382020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3832 (Minnesota) | Primary |
Provider Name | Shoptikal Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942866371 PECOS PAC ID: 1456684471 Enrollment ID: O20190611002309 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel Elijah Lupkes, OD 601 1st Ave Ne Apt 327, Faribault, MN 55021-2904 Ph: (916) 747-0029 | Dr Samuel Elijah Lupkes, OD 300 Western Ave Nw Ste 100 1/2, Faribault, MN 55021-4528 Ph: (916) 747-0029 |
Dr. Angella Schaefer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 20th St Nw, Suite 101, Faribault, MN 55021 Phone: 507-332-9900 | |
Dr. Misty Purfeerst, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 20th St Nw, Ste 101, Faribault, MN 55021 Phone: 507-332-9900 Fax: 507-332-6800 | |
Jenny O'malley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 | |
Dr. Reena Madhok, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 | |
Dr. Murray Hanson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 20th St Nw Ste 101, Faribault, MN 55021 Phone: 507-332-9900 Fax: 507-332-6800 | |
Ashley Marie Veness, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-384-4470 |