Brent Daniel Johnson, OD | |
435 S Grove St, Suite 2, Blue Earth, MN 56013-2604 | |
(507) 526-2222 | |
(507) 526-3927 |
Full Name | Brent Daniel Johnson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 36 Years |
Location | 435 S Grove St, Blue Earth, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689667875 | NPI | - | NPPES |
060225600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2195 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Care Associates Of Sc Llc | 4587998802 | 57 |
Provider Name | Blue Earth Valley Eye Clinic Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518950708 PECOS PAC ID: 4688691033 Enrollment ID: O20051026000047 |
Provider Name | Eye Care Associates Of Sc Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679046569 PECOS PAC ID: 4587998802 Enrollment ID: O20220127003028 |
Mailing Address | Practice Location Address |
---|---|
Brent Daniel Johnson, OD Po Box 36, Blue Earth, MN 56013-0036 Ph: (507) 526-2222 | Brent Daniel Johnson, OD 435 S Grove St, Suite 2, Blue Earth, MN 56013-2604 Ph: (507) 526-2222 |
Associate Optometry, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 6th St, Blue Earth, MN 56013 Phone: 507-526-2020 Fax: 507-526-4421 | |
Fox Family Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 E 6th St, Blue Earth, MN 56013 Phone: 507-525-1368 | |
Brittany Nita Fox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 435 S Grove St, Blue Earth, MN 56013 Phone: 507-526-2222 Fax: 507-526-3927 |