| Eye Doc | |
|
7074 Brooklyn Blvd, Brooklyn Center, MN 55429-1370 | |
| (763) 316-4193 | |
| (763) 363-0002 |
| Full Name | Eye Doc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7074 Brooklyn Blvd, Brooklyn Center, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831330679 | NPI | - | NPPES |
| C05200 | Other | MN | PTAN |
| 1689607780 | Other | MN | INDIVIDUAL NPI |
| 1831330679 | Other | MN | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3056 (Minnesota) | Primary |
| 302F00000X | Exclusive Provider Organization | 3056 (Minnesota) | Secondary |
| Provider Name | Sandy Pham-vang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689607780 PECOS PAC ID: 7416960885 Enrollment ID: I20060802000018 |
| Provider Name | Muychi Timothy Vang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831700798 PECOS PAC ID: 1052737962 Enrollment ID: I20200902000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Doc 7074 Brooklyn Blvd, Brooklyn Center, MN 55429-1370 Ph: (763) 316-4193 | Eye Doc 7074 Brooklyn Blvd, Brooklyn Center, MN 55429-1370 Ph: (763) 316-4193 |
Terry Lucas, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1180 Brookdale Mall, Sp. #30, Brooklyn Center, MN 55430 Phone: 763-566-8166 Fax: 763-566-5627 | |
Jean M Tass, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 | |
Dr. Beth Anne Despiegelaere, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-3150 | |
Eunice Chang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 Fax: 952-993-4827 | |
Dr. Edward Augdahl, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Pearle Vision, 5515 Xerxes Ave North, Brooklyn Center, MN 55430 Phone: 763-560-1636 Fax: 763-560-4101 | |
Dr. William Miyoshi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6096 Shingle Creek Pkwy, Brooklyn Center, MN 55430 Phone: 763-208-8590 |