Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 878 6th St, Dawson, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942395702 | NPI | - | NPPES |
044714500 | Medicaid | MN | |
163J8HE | Other | MN | BLUE PLUS |
97204 | Other | HEALTH PARTNERS | |
163J7HE | Other | MN | BLUE CROSS BLUE SHIELD |
126236 | Other | UCARE | |
114766 | Other | MN | UCARE MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2670 (Minnesota) | Primary |
152W00000X | Optometrist | 2671 (Minnesota) | Secondary |
Mailing Address | Practice Location Address |
---|---|
878 6th Street, Dawson, MN 56232 Ph: (320) 769-2977 | 878 6th St, Dawson, MN 56232 Ph: (320) 769-2977 |
Avera Marshall Optometrist Medicare: Medicare Enrolled Practice Location: 878 6th St, Dawson, MN 56232 Phone: 320-769-2977 |