Patrick J Martin, | |
Pearle Vision, 1056 Burnsville Center, Burnsville, MN 55306 | |
(952) 435-8821 | |
(952) 435-1624 |
Full Name | Patrick J Martin |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | Pearle Vision, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356437065 | NPI | - | NPPES |
3C309MA | Other | MN | BLUE CROSS BLUE SHIELD |
549023500 | Medicaid | MN | |
911361 | Other | MN | EYE MED / COLE VISION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2093 (Minnesota) | Primary |
Provider Name | Sirius Vision Optometry Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336588177 PECOS PAC ID: 9537472030 Enrollment ID: O20150713001630 |
Mailing Address | Practice Location Address |
---|---|
Patrick J Martin, 41 S Sutton Lake Blvd, Jordan, MN 55352-9467 Ph: (952) 492-3915 | Patrick J Martin, Pearle Vision, 1056 Burnsville Center, Burnsville, MN 55306 Ph: (952) 435-8821 |
Martin Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 810 County Road 42 W, Burnsville, MN 55337 Phone: 952-288-3412 | |
Randal P North, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2070-72 Burnsville Center, Burnsville, MN 55306 Phone: 952-435-3686 Fax: 952-435-3074 | |
Kristine L Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14000 Nicollet Ave, Burnsville, MN 55337 Phone: 952-428-0200 | |
Paul M Damlo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2070-72 Burnsville Center, Burnsville, MN 55306 Phone: 952-435-3686 Fax: 952-435-3074 | |
Roger L Parlanti, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700 | |
Edina Eye Physicians And Surgeons Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14050 Nicollet Ave, Suite 101, Burnsville, MN 55337 Phone: 952-435-4170 Fax: 952-898-8832 | |
Dr. Brandon Koupal, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1004 County Road 42 E, Burnsville, MN 55337 Phone: 952-894-1400 |