| Dr Ben Philbert Cannon, OD | |
|
615 Monroe Ave, Mason City, IA 50401 | |
| (641) 424-8271 | |
| Not Available |
| Full Name | Dr Ben Philbert Cannon |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 615 Monroe Ave, Mason City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770868820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3413 (Minnesota) | Secondary |
| 152W00000X | Optometrist | 074027 (Iowa) | Primary |
| Provider Name | Shoptikal Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588220974 PECOS PAC ID: 1456684471 Enrollment ID: O20190625002621 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ben Philbert Cannon, OD 615 Monroe Ave, Mason City, IA 50401 Ph: () - | Dr Ben Philbert Cannon, OD 615 Monroe Ave, Mason City, IA 50401 Ph: (641) 424-8271 |
Dr. Gerrie L Lubben, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 615 S Monroe Ave, Shopko Eyecare Center, Mason City, IA 50401 Phone: 641-424-8271 Fax: 641-424-2359 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3570 4th St Sw Ste 400, Mason City, IA 50401 Phone: 641-424-8271 | |
Dr. Jared Kellar, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 595 S Illinois Ave, Mason City, IA 50401 Phone: 641-425-5916 | |
North Iowa Eye Clinic, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 401 Village Ln, Mason City, IA 50401 Phone: 641-423-8124 Fax: 641-423-0727 | |
Dr. Thomas J. Augustin, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3121 4th St Sw, Mason City, IA 50401 Phone: 641-201-1711 Fax: 641-201-1714 | |
Michael L Korthals, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 422 S Pierce Ave, Mason City, IA 50401 Phone: 641-424-0780 Fax: 641-424-2345 | |
Kent Herman Juffer, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3121 4th St Sw, Mason City, IA 50401 Phone: 641-423-8861 Fax: 641-423-0727 |