Mr Cody Michael Benedict, OD | |
110 Evergreen Sq Sw, Pine City, MN 55063-2000 | |
(320) 629-7262 | |
Not Available |
Full Name | Mr Cody Michael Benedict |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 110 Evergreen Sq Sw, Pine City, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376146373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3756 (Minnesota) | Primary |
152W00000X | Optometrist | 3652-35 (Wisconsin) | Secondary |
Provider Name | Eagan Eye Clinic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477732337 PECOS PAC ID: 0345220745 Enrollment ID: O20040726000300 |
Provider Name | Visionworks Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881962173 PECOS PAC ID: 4385639616 Enrollment ID: O20120409000416 |
Mailing Address | Practice Location Address |
---|---|
Mr Cody Michael Benedict, OD 603 Oak St W Unit 1, Frederic, WI 54837-8902 Ph: (715) 566-4160 | Mr Cody Michael Benedict, OD 110 Evergreen Sq Sw, Pine City, MN 55063-2000 Ph: (320) 629-7262 |
Dr. Calli Toler, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Evergreen Sq Sw, Pine City, MN 55063 Phone: 320-629-7262 | |
Dr. Shirola & Associates, Optometrists P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 950 11th St Sw, Pine City, MN 55063 Phone: 320-629-7465 | |
Dr. Rafe Garofalo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Evergreen Square, Pine City, MN 55063 Phone: 320-629-7262 Fax: 320-627-7789 | |
Dr. Kristi Ann Iverson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Evergreen Square, Pine City, MN 55063 Phone: 320-629-7262 Fax: 320-629-7789 | |
Pine Eye Associates Optometrist Medicare: Medicare Enrolled Practice Location: 110 Evergreen Square, Pine City, MN 55063 Phone: 320-629-7262 Fax: 320-629-7789 |