Lakeville Family Eye Care Llc | |
17690 Kenwood Trl, Lakeville, MN 55044-9764 | |
(952) 898-9588 | |
(952) 898-2030 |
Full Name | Lakeville Family Eye Care Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 17690 Kenwood Trl, Lakeville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427292143 | NPI | - | NPPES |
499R7LA | Other | MN | BLUE CROSS BLUE SHIELD MN |
2203175 | Other | MN | UNITED HEALTH CARE |
2823 | Other | MN | MN LICENSE |
A61971031584 | Other | MN | PREFERRED ONE |
202779692 | Other | MN | VSP |
1518037563 | Other | MN | NPI |
2203175 | Other | MN | MEDICA |
HP36326 | Other | MN | HEALTHPARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2823 (Minnesota) | Primary |
Provider Name | Andrew J Mattson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518037563 PECOS PAC ID: 1850333279 Enrollment ID: I20050525001194 |
Provider Name | Kevin William Cassin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053798637 PECOS PAC ID: 3577874056 Enrollment ID: I20150624003006 |
Provider Name | Michelle C Ryba |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265812283 PECOS PAC ID: 9638483621 Enrollment ID: I20150804006023 |
Provider Name | Lisa J Holtman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710407622 PECOS PAC ID: 2668744715 Enrollment ID: I20200916002987 |
Provider Name | Jonah Mitchell Resnick |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871231084 PECOS PAC ID: 0840673000 Enrollment ID: I20220820000178 |
Provider Name | Brandon J Koupal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194403774 PECOS PAC ID: 9830550219 Enrollment ID: I20230801003837 |
Mailing Address | Practice Location Address |
---|---|
Lakeville Family Eye Care Llc 17690 Kenwood Trl, Lakeville, MN 55044-9764 Ph: (952) 898-9588 | Lakeville Family Eye Care Llc 17690 Kenwood Trl, Lakeville, MN 55044-9764 Ph: (952) 898-9588 |
Eye 35 Optometrists, Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 18488 Kenyon Ave, Lakeville, MN 55044 Phone: 952-435-3505 | |
Dr. Alexis Kim Nivaud, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20094 Kenwood Trl, Lakeville, MN 55044 Phone: 952-469-3937 | |
Dr. Jonathan James Schorn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16105 Cedar Ave, Lakeville, MN 55044 Phone: 952-985-6467 Fax: 952-985-6468 | |
Teresa Rhone, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 18484 Kachina Ct, Lakeville, MN 55044 Phone: 952-993-3150 | |
Dr. Melissa Marie Lopez, OD Optometrist Medicare: Medicare Enrolled Practice Location: 18275 Kenrick Ave, Lakeville, MN 55044 Phone: 952-892-0028 | |
Dr. Kamran Ahrar, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 18576 Joplin Ave, Lakeville, MN 55044 Phone: 952-892-6454 | |
Dr. Margaret G Mcdonald, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20094 Kenwood Trl, Lakeville, MN 55044 Phone: 952-469-3937 Fax: 877-795-9884 |