| Dr Josan Wai-tak Ko, OD | |
|
4620 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 | |
| (763) 315-0909 | |
| Not Available |
| Full Name | Dr Josan Wai-tak Ko |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 4620 Oak Grove Pkwy N, Brooklyn Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326116344 | NPI | - | NPPES |
| 1649348681 | Medicaid | MN | |
| 22-02901 | Other | MN | MEDICA |
| J52607 | Other | MN | DAVIS VISION |
| 166K5KO | Other | MN | BCBSM |
| MN02869 | Other | MN | VBA |
| 19982 | Other | MN | NVA |
| 181414 | Other | MN | UCARE MINNESOTA |
| 26833 | Other | MN | SPECTERA |
| 697670100 | Medicaid | MN | |
| 244301040082 | Other | MN | PREFERRED ONE |
| 9529921700 | Other | MN | PATIENT CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | MN2869 (Minnesota) | Primary |
| Provider Name | Eye Klinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649348681 PECOS PAC ID: 6608051214 Enrollment ID: O20110426000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Josan Wai-tak Ko, OD 4620 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 Ph: (763) 315-0909 | Dr Josan Wai-tak Ko, OD 4620 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 Ph: (763) 315-0909 |
Rene L. Royal, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10000 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-572-5710 Fax: 763-569-6200 | |
Peter James Heinen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8000 Lakeland Ave N, Walmart Vision Center, Brooklyn Park, MN 55445 Phone: 763-425-4890 Fax: 763-424-2787 | |
Dr. Stephen Joseph Shirola, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6268 Boone Ave North, Brooklyn Park, MN 55428 Phone: 763-257-0344 Fax: 763-257-0346 | |
Laura L Larson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8000 Lakeland Ave N, Brooklyn Park, MN 55445 Phone: 763-425-4890 | |
Holly Marie Bieda, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10000 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-569-6250 | |
Brooklyn Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 9670 Colorado Ln N, Brooklyn Park, MN 55445 Phone: 763-843-7153 |