| Dr Kenneth H Ristau, OD | |
|
1200 Susan Dr, Marshall, MN 56258-2580 | |
| (507) 537-9652 | |
| (507) 537-9646 |
| Full Name | Dr Kenneth H Ristau |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 28 Years |
| Location | 1200 Susan Dr, Marshall, 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 |
|---|---|---|---|
| 1235180233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2643 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shoptikal Llc | 1456684471 | 169 |
| Provider Name | Shopko Stores Operating Co Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982656906 PECOS PAC ID: 0749292639 Enrollment ID: O20060627000121 |
| 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 Kenneth H Ristau, OD 1200 Susan Dr, Marshall, MN 56258-2580 Ph: (507) 537-9652 | Dr Kenneth H Ristau, OD 1200 Susan Dr, Marshall, MN 56258-2580 Ph: (507) 537-9652 |
Dr. Lori Ruth Vikesland Obler, OD Optometrist Medicare: Medicare Enrolled Practice Location: 203 Jewett St, Marshall, MN 56258 Phone: 507-537-1976 Fax: 507-537-1373 | |
Jorzach Inc Optometrist Medicare: Medicare Enrolled Practice Location: 202 Oconnell St, Marshall, MN 56258 Phone: 507-532-5777 Fax: 507-532-2087 | |
Dr. Michael Woltman Ohlson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-1427 | |
Dr. Nancy Louise Hemmingson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 Phone: 507-537-1427 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1113 E College Dr, Marshall, MN 56258 Phone: 507-532-5771 | |
Avera Marshall Optometrist Medicare: Not Enrolled in Medicare Practice Location: 202 S Oconnell St Ste 1, Marshall, MN 56258 Phone: 507-532-5777 |