Greg B Markeson, OD | |
1750 Robert St S, West St Paul, MN 55118-3919 | |
(651) 306-0412 | |
(651) 306-0414 |
Full Name | Greg B Markeson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1750 Robert St S, West St Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205917473 | NPI | - | NPPES |
020722500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2557 (Minnesota) | Primary |
Provider Name | Fourone2020 Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538646930 PECOS PAC ID: 1850636598 Enrollment ID: O20181227000909 |
Mailing Address | Practice Location Address |
---|---|
Greg B Markeson, OD 11146 Sweetwater Path, Woodbury, MN 55129-5293 Ph: (651) 436-3499 | Greg B Markeson, OD 1750 Robert St S, West St Paul, MN 55118-3919 Ph: (651) 306-0412 |
Dr. Laura L Flockencier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1540 Humboldt Ave, West St Paul, MN 55118 Phone: 651-457-2020 | |
Radiant Isight Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1750 Robert St S, West St Paul, MN 55118 Phone: 815-997-0164 | |
Dba Greg B Markeson Od Optometrist Medicare: Medicare Enrolled Practice Location: 1750 Robert St S, West St Paul, MN 55118 Phone: 651-306-0412 Fax: 651-306-0414 | |
Matthew Hennen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1540 Humboldt Ave, Suite 201, West St Paul, MN 55118 Phone: 651-457-2020 | |
Baars Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1750 Robert St S, West St Paul, MN 55118 Phone: 651-306-0412 Fax: 651-306-0414 | |
Optometric Services, Llc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1980 South Robert St, West St Paul, MN 55118 Phone: 651-451-1805 Fax: 651-451-0330 |