Heather Jackson, OD | |
2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 | |
(651) 738-8040 | |
(651) 714-0759 |
Full Name | Heather Jackson |
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Gender | Female |
Speciality | Optometrist |
Location | 2070 Eagle Creek Ln Ste 200, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083266126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3641 (Minnesota) | Primary |
Provider Name | Strategic Practice Management, P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780800904 PECOS PAC ID: 6507963261 Enrollment ID: O20070515000345 |
Provider Name | Real Eyes Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295887883 PECOS PAC ID: 2860560232 Enrollment ID: O20081013000218 |
Mailing Address | Practice Location Address |
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Heather Jackson, OD Po Box 171, Saint Michael, MN 55376-0171 Ph: () - | Heather Jackson, OD 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 Ph: (651) 738-8040 |
Dr. Sara Spear Kaminski, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 449 Commerce Drive, Woodbury, MN 55129 Phone: 651-354-1425 | |
Mrs. Emily Kay Bjore, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9965 Hudson Pl, Woodbury, MN 55125 Phone: 612-252-0046 Fax: 612-252-0047 | |
Douglas F Kilgore, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7150 Valley Creek Plz Ste 216, Woodbury, MN 55125 Phone: 651-738-4886 Fax: 651-738-3744 | |
Dr. Taylor Lauermann, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2070 Eagle Creek Ln, Woodbury, MN 55129 Phone: 651-436-3356 | |
Dr. David Bertin Ness, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7150 Valley Creek Plz Ste 216, Woodbury, MN 55125 Phone: 651-738-4886 | |
Mr. Ryan Daniel Johnson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8362 Tamarack Village, Rm 108, Woodbury, MN 55125 Phone: 651-730-9662 |