| Dr Samuel Elijah Lupkes, OD | |
|
300 Western Ave Nw Ste 100 1/2, Faribault, MN 55021-4528 | |
| (916) 747-0029 | |
| Not Available |
| Full Name | Dr Samuel Elijah Lupkes |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 300 Western Ave Nw Ste 100 1/2, Faribault, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689382020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3832 (Minnesota) | Primary |
| 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 Samuel Elijah Lupkes, OD 601 1st Ave Ne Apt 327, Faribault, MN 55021-2904 Ph: (916) 747-0029 | Dr Samuel Elijah Lupkes, OD 300 Western Ave Nw Ste 100 1/2, Faribault, MN 55021-4528 Ph: (916) 747-0029 |
Dr. Angella Schaefer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 20th St Nw, Suite 101, Faribault, MN 55021 Phone: 507-332-9900 | |
Dr. Misty Purfeerst, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 20th St Nw, Ste 101, Faribault, MN 55021 Phone: 507-332-9900 Fax: 507-332-6800 | |
Jenny O'malley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 | |
Dr. Reena Madhok, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 | |
Dr. Murray Hanson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1575 20th St Nw Ste 101, Faribault, MN 55021 Phone: 507-332-9900 Fax: 507-332-6800 | |
Ashley Marie Veness, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-384-4470 |