| J Scott Endres, OD | |
| 
					5730 Bottineau Blvd., Crystal, MN 55429-3181  | |
| (763) 537-3213 | |
| (763) 537-6732 | 
| Full Name | J Scott Endres | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 5730 Bottineau Blvd., Crystal, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205830254 | NPI | - | NPPES | 
| 22-01181 | Other | MN | MEDICA PRIMARY | 
| 410049467 | Other | MN | MEDICARE RAILROAD | 
| HP17523 | Other | MN | HEALTH PARTNERS | 
| 130870 | Other | MN | COLE MANAGED VISION | 
| 22-01009 | Other | MN | SELECT CARE | 
| 410001614 | Other | MN | MEDICARE | 
| 22-01009 | Other | MN | MEDICA CHOICE | 
| 23706 | Other | MN | ARAZ/AMERICA'S PPO | 
| 22-01178 | Other | MN | MEDICA CHOICE | 
| 4C413EN | Other | MN | BLUE CROSS/BLUE SHIELD | 
| 109241 | Other | MN | UCARE SRS AND MN | 
| 22-01178 | Other | MN | SELECT CARE | 
| 320725100 | Medicaid | MN | |
| 935300695003 | Other | MN | PREFERRED ONE | 
| 644S7EN | Other | MN | BLUE CROSS/BLUE SHIELD | 
| 964110695003 | Other | MN | PREFERRED ONE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 2303 (Minnesota) | Primary | 
| Provider Name | Crystal Vision Clinic Pa | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1720480007 PECOS PAC ID: 2860716396 Enrollment ID: O20150109002151  | 
| Mailing Address | Practice Location Address | 
|---|---|
| J Scott Endres, OD 5730 Bottineau Blvd., Crystal, MN 55429-3181 Ph: (763) 537-3213  | J Scott Endres, OD 5730 Bottineau Blvd., Crystal, MN 55429-3181 Ph: (763) 537-3213  | 
Dr. Lauren Elisabeth Bruehl, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5730 Bottineau Blvd, Crystal, MN 55429 Phone: 763-537-3213  | |
James J Hess & Scott Endres Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-537-3213 Fax: 763-537-6732  | |
Emily Boss, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5730 Bottineau Blvd., Crystal, MN 55369 Phone: 763-537-3213  | |
Mary K Laconic, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-537-3213 Fax: 763-537-6732  | |
Justin Musland, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 143 Willow Bnd, Crystal, MN 55428 Phone: 612-537-8780  | |
Dr. Aaron Thomas Lahoud, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5546 W Broadway Ave Ste 135, Crystal, MN 55428 Phone: 763-537-8896 Fax: 763-537-8549  |