| Dr Gareth Shigemi Hataye, OD | |
|
318 N Main St, Austin, MN 55912-3406 | |
| (507) 437-7768 | |
| (507) 437-7769 |
| Full Name | Dr Gareth Shigemi Hataye |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 39 Years |
| Location | 318 N Main St, Austin, 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 |
|---|---|---|---|
| 1164529384 | NPI | - | NPPES |
| 1011297 | Other | MN | PREFERRED ONE |
| 4C069HA | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 115713 | Other | MN | UCARE MINNESOTA |
| 2200450 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2189 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shoptikal Llc | 1456684471 | 169 |
| Provider Name | Shoptikal Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942866371 PECOS PAC ID: 1456684471 Enrollment ID: O20190611002309 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gareth Shigemi Hataye, OD 318 N Main St, Austin, MN 55912-3406 Ph: (507) 437-7768 | Dr Gareth Shigemi Hataye, OD 318 N Main St, Austin, MN 55912-3406 Ph: (507) 437-7768 |
Aleesha Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 14th St Nw, Austin, MN 55912 Phone: 507-437-3227 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1004 18th Ave Nw Ste D, Austin, MN 55912 Phone: 507-437-8228 | |
Hataye-softing Optometrists, Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 318 N Main St, Austin, MN 55912 Phone: 507-437-7768 Fax: 507-437-7769 | |
Dessie Dee Mason, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 14th St Nw, Austin, MN 55912 Phone: 507-437-3227 | |
Dr. Jeffrey L Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 14th St Nw, Austin, MN 55912 Phone: 507-437-3227 Fax: 507-437-8070 | |
Jeffrey L. Anderson O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 2nd Ave Nw, Austin, MN 55912 Phone: 507-437-3227 Fax: 507-437-8070 |