| Dr Kevin Cuong Pham, OD | |
|
445 Minnesota St Ste 1500, Saint Paul, MN 55101-2269 | |
| (773) 588-3090 | |
| Not Available |
| Full Name | Dr Kevin Cuong Pham |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 445 Minnesota St Ste 1500, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831619998 | NPI | - | NPPES |
| 3514 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3514K (Minnesota) | Primary |
| Provider Name | Ovitsky Vision Care Of Minnesota Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174010656 PECOS PAC ID: 7810244407 Enrollment ID: O20180730000367 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Cuong Pham, OD 3620 Pierce St S, Fargo, ND 58104-7563 Ph: (701) 799-8063 | Dr Kevin Cuong Pham, OD 445 Minnesota St Ste 1500, Saint Paul, MN 55101-2269 Ph: (773) 588-3090 |
Kennedy Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1790 Lexington Ave N, Saint Paul, MN 55113 Phone: 651-488-6771 Fax: 651-488-5576 | |
Maggie Scott, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1360 University Ave W Ste 106, Saint Paul, MN 55104 Phone: 651-251-0317 | |
Dr. Julie M Blenker, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 261 Ruth St N Ste E, Saint Paul, MN 55119 Phone: 651-739-5173 Fax: 651-739-8907 | |
John Heyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-241-7000 | |
Dr. Matthew Thomas Hendricks, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7500 | |
Broecker Eye & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 2356 University Ave W, Suite 260, Saint Paul, MN 55114 Phone: 651-645-8124 Fax: 651-645-8125 | |
Dr. David Andrew Spande, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 University Ave W, Optical Clinic, Saint Paul, MN 55104 Phone: 651-641-6181 Fax: 651-646-3292 |