| Michelle Elizabeth Taylor, OD | |
|
4243 4th Ave S, Minneapolis, MN 55409-2113 | |
| (612) 821-2003 | |
| Not Available |
| Full Name | Michelle Elizabeth Taylor |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 4243 4th Ave S, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528090420 | NPI | - | NPPES |
| 592325500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WV0400X | Optometrist - Vision Therapy | 2605 (Minnesota) | Secondary |
| 152W00000X | Optometrist | 2605 (Minnesota) | Primary |
| Provider Name | Southside Community Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538137757 PECOS PAC ID: 8921027228 Enrollment ID: O20051116000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Elizabeth Taylor, OD 4243 4th Ave S, Minneapolis, MN 55409-2113 Ph: () - | Michelle Elizabeth Taylor, OD 4243 4th Ave S, Minneapolis, MN 55409-2113 Ph: (612) 821-2003 |
The Glasses Menagerie Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3142 Hennepin Ave, Minneapolis, MN 55408 Phone: 612-822-7021 | |
Art Of Optiks Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4999 France Ave S, Suite 140, Minneapolis, MN 55410 Phone: 612-440-2020 Fax: 612-440-0202 | |
Dr. Xuanmai Thi Ta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2718 Nicollet Ave, Suite No. 103, Minneapolis, MN 55408 Phone: 612-871-1518 Fax: 612-871-2585 | |
Dr. Theodore Lester Hansen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 115 East Lake St, Minneapolis, MN 55408 Phone: 612-827-3857 Fax: 612-827-7204 | |
Kari Maffitt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3553 Hennepin Ave, Minneapolis, MN 55408 Phone: 612-822-5844 Fax: 612-827-3418 | |
Dr. David Paul Parupsky, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1304 4th St Se, Dinkytown Optical, Minneapolis, MN 55414 Phone: 612-331-7100 Fax: 612-331-7100 | |
Moulay Younes Elidrissi, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 720 W Lake St # 107, Minneapolis, MN 55408 Phone: 612-216-4705 |