| Academy Contact Lens Clinic | |
|
2655 Innsbruck Dr, Suite B, New Brighton, MN 55112-9303 | |
| (651) 636-2020 | |
| (651) 633-5036 |
| Full Name | Academy Contact Lens Clinic |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2655 Innsbruck Dr, New Brighton, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639202559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2236 (Minnesota) | Primary |
| Provider Name | John Cavanagh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205921368 PECOS PAC ID: 4981817954 Enrollment ID: I20101105000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Academy Contact Lens Clinic 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112-9303 Ph: (651) 636-2020 | Academy Contact Lens Clinic 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112-9303 Ph: (651) 636-2020 |
Mr. John Mark Cavanagh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112 Phone: 651-636-2020 Fax: 651-633-5036 | |
Dr. David H. Hess, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2202 Rockstone Ln, New Brighton, MN 55112 Phone: 952-484-2040 |