| Minnesota Vision Outreach, Inc | |
|
9905 45th Avenue North, Suite 110, Plymouth, MN 55422-3315 | |
| (763) 595-8414 | |
| (763) 595-8414 |
| Full Name | Minnesota Vision Outreach, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9905 45th Avenue North, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457563827 | NPI | - | NPPES |
| 2100002 | Other | MN | MEDICA PRIMARY |
| 23979 | Other | MN | HEALTH PARTNERS |
| 3C780MI | Other | MN | BLUE PLUS |
| 2115998 | Other | MN | MEDICA CHOICE |
| 102877 | Other | MN | UCARE |
| 096744100 | Medicaid | MN | |
| 19467WO | Other | MN | BCBS OF MN |
| 2499537 | Other | MN | MHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1706 (Minnesota) | Primary |
| Provider Name | Alan E Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578626628 PECOS PAC ID: 5890892954 Enrollment ID: I20070524000225 |
| Provider Name | Samuel F Wolfson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477616449 PECOS PAC ID: 2163490095 Enrollment ID: I20120504000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Vision Outreach, Inc 9905 45th Avenue North, Suite 110, Plymouth, MN 55422-3315 Ph: (763) 595-8414 | Minnesota Vision Outreach, Inc 9905 45th Avenue North, Suite 110, Plymouth, MN 55422-3315 Ph: (763) 595-8414 |
Grant Sealock, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 Fax: 763-559-2167 | |
Kenndy Vision Health Center Optometrist Medicare: Medicare Enrolled Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257 | |
John Mueller Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4190 Vinewood Ln N Ste 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122 | |
Nicole Ann Solem, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 | |
Dr. Kelsey Moore, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257 | |
Visionsmith Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4190 Vinewood Ln N, Suite 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122 | |
Dr. Nadia Siddiqi Khan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3007 Harbor Ln N Ste 1500, Plymouth, MN 55447 Phone: 763-559-4669 Fax: 763-559-4767 |