Samuel F Wolfson, OD | |
9905 45th Avenue North, Suite 110, Plymouth, MN 55442-3315 | |
(763) 595-8414 | |
(763) 595-8438 |
Full Name | Samuel F Wolfson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 9905 45th Avenue North, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477616449 | NPI | - | NPPES |
0909390001 | Other | MN | DMERC |
102877 | Other | MN | UCARE MINNESOTA |
2499537 | Other | MN | METROPOLITAN HEALTH PLAN |
410038901 | Other | FM | RAILROAD MEDICARE |
23979 | Other | MN | HEALTH PARTNERS |
2200080 | Other | MN | MEDICA PRIMARY |
0909390001 | Other | MN | ADMINISTAR FEDERAL |
19467W0 | Other | MN | BLUE CROSS BLUE SHIELD |
2202766 | Other | FM | MEDICA CHOICE |
315023200 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1706 (Minnesota) | Primary |
Provider Name | Minnesota Vision Outreach Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457563827 PECOS PAC ID: 4183692015 Enrollment ID: O20040920000335 |
Mailing Address | Practice Location Address |
---|---|
Samuel F Wolfson, OD 9905 45th Avenue North, Suite 110, Plymouth, MN 55442-3315 Ph: (763) 595-8414 | Samuel F Wolfson, OD 9905 45th Avenue North, Suite 110, Plymouth, MN 55442-3315 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 |