Trevor Johnson, OD | |
1630 Center St W, Rochester, MN 55902-0346 | |
(507) 316-0770 | |
(507) 701-0730 |
Full Name | Trevor Johnson |
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Gender | Male |
Speciality | Optometrist |
Location | 1630 Center St W, Rochester, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669217212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3926 (Minnesota) | Primary |
Provider Name | Total Vision Eyecare Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316588700 PECOS PAC ID: 6002248812 Enrollment ID: O20191118000229 |
Mailing Address | Practice Location Address |
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Trevor Johnson, OD 1630 Center St W, Rochester, MN 55902-0346 Ph: (507) 316-0770 | Trevor Johnson, OD 1630 Center St W, Rochester, MN 55902-0346 Ph: (507) 316-0770 |
Dr. Jodi M. Moore-weiss, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Dr. Eva Y So, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3630 11th Ave Nw, Rochester, MN 55901 Phone: 507-288-2457 Fax: 507-288-1299 | |
Dr. Loren John Baldus, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3630 11th Ave Nw, Rochester, MN 55901 Phone: 507-288-2457 | |
Dr. Courtney Ray Sivertson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3632 10th Ln Nw, Rochester, MN 55901 Phone: 507-282-7121 |