| Dr Mindy Thanh Minh Ta, OD | |
|
11086 Se Oak St, Milwaukie, OR 97222-6692 | |
| (503) 656-4221 | |
| (503) 656-4249 |
| Full Name | Dr Mindy Thanh Minh Ta |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 21 Years |
| Location | 11086 Se Oak St, Milwaukie, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942282926 | NPI | - | NPPES |
| 213509 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3140T (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Health Northwest Pc | 9234039926 | 62 |
| Provider Name | Eye Health Northwest Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619959731 PECOS PAC ID: 9234039926 Enrollment ID: O20040109000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mindy Thanh Minh Ta, OD Po Box 22009, Portland, OR 97269-2009 Ph: (503) 558-7372 | Dr Mindy Thanh Minh Ta, OD 11086 Se Oak St, Milwaukie, OR 97222-6692 Ph: (503) 656-4221 |
Eye Clinic Of Milwaukie, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2306 Se Washington St., Milwaukie, OR 97222 Phone: 503-654-3212 Fax: 503-652-2460 | |
Dr. Lawrence Alfred Froland, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2306 Se Washington St, Milwaukie, OR 97222 Phone: 503-654-3212 Fax: 503-652-2460 | |
Jona Arielle Johnson, O.D., M.B.A. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11086 Se Oak St, Milwaukie, OR 97222 Phone: 503-656-4221 Fax: 503-656-4249 | |
Philip J. Korten O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2535 Se Harrison St, Milwaukie, OR 97222 Phone: 503-654-0456 Fax: 503-653-7192 |