| Dr Glenn Orville Kallevig, OD | |
|
101 S Rum River Dr, Princeton, MN 55371-1815 | |
| (763) 389-9000 | |
| Not Available |
| Full Name | Dr Glenn Orville Kallevig |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 35 Years |
| Location | 101 S Rum River Dr, Princeton, 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 |
|---|---|---|---|
| 1174688725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2359 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thomas L Nunnelee Inc | 4880792571 | 2 |
| Provider Name | Thomas L Nunnelee Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225194475 PECOS PAC ID: 4880792571 Enrollment ID: O20070604000407 |
| 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 Glenn Orville Kallevig, OD 14940 47th St Ne, Foley, MN 56329-4621 Ph: (320) 968-8091 | Dr Glenn Orville Kallevig, OD 101 S Rum River Dr, Princeton, MN 55371-1815 Ph: (763) 389-9000 |
Edina Eye Physicians And Surgeons Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-241-5878 Fax: 763-241-5877 | |
Ronald Huebsch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 523 1st St, Princeton, MN 55371 Phone: 763-389-3150 Fax: 763-389-0664 | |
Daniel William Solbrack, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 523 1st St, Princeton, MN 55371 Phone: 763-389-3150 |