| Dr Angela Sue Smith, OD | |
|
216 S Main St Ste 2, Crookston, MN 56716-1939 | |
| (218) 281-2020 | |
| (218) 281-5997 |
| Full Name | Dr Angela Sue Smith |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 19 Years |
| Location | 216 S Main St Ste 2, Crookston, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457569378 | NPI | - | NPPES |
| 38632000 | Medicaid | WI | |
| 1457569378 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3062035 (Wisconsin) | Secondary |
| 152W00000X | Optometrist | 3074 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agassiz Optometry Associates Pc | 6507022092 | 3 |
| Provider Name | Agassiz Optometry Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740567494 PECOS PAC ID: 6507022092 Enrollment ID: O20120830000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angela Sue Smith, OD 216 S Main St Ste 2, Crookston, MN 56716-1939 Ph: (218) 281-2020 | Dr Angela Sue Smith, OD 216 S Main St Ste 2, Crookston, MN 56716-1939 Ph: (218) 281-2020 |
Crookston Eye Clinic, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 216 S Main St, Crookston, MN 56716 Phone: 218-281-2020 Fax: 218-281-5997 | |
Dr. Matthew C Forgit, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 S Main St, Crookston, MN 56716 Phone: 218-281-2020 Fax: 218-281-5997 | |
Kari Jane Miller, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 216 S Main St, Crookston, MN 56716 Phone: 218-281-2020 Fax: 218-281-5997 | |
Agassiz Optometry Associates Pc Optometrist Medicare: Medicare Enrolled Practice Location: 216 S Main St, Crookston, MN 56716 Phone: 218-281-2020 |