| James Brekke, OD | |
|
7150 Valley Creek Plz, Suite 216, Woodbury, MN 55125-2271 | |
| (651) 738-4886 | |
| (651) 738-3744 |
| Full Name | James Brekke |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 7150 Valley Creek Plz, Woodbury, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134291487 | NPI | - | NPPES |
| 335217000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2233 (Minnesota) | Primary |
| Provider Name | Spectacle Shoppe Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588700157 PECOS PAC ID: 1153447453 Enrollment ID: O20100923001128 |
| Mailing Address | Practice Location Address |
|---|---|
| James Brekke, OD 361 Trout Brook Trl, Hudson, WI 54016-6729 Ph: (715) 808-1159 | James Brekke, OD 7150 Valley Creek Plz, Suite 216, Woodbury, MN 55125-2271 Ph: (651) 738-4886 |
Dr. Sara Spear Kaminski, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 449 Commerce Drive, Woodbury, MN 55129 Phone: 651-354-1425 | |
Douglas F Kilgore, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7150 Valley Creek Plz Ste 216, Woodbury, MN 55125 Phone: 651-738-4886 Fax: 651-738-3744 | |
Dr. Taylor Lauermann, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2070 Eagle Creek Ln, Woodbury, MN 55129 Phone: 651-436-3356 | |
Heather Jackson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129 Phone: 651-738-8040 Fax: 651-714-0759 | |
Dr. David Bertin Ness, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7150 Valley Creek Plz Ste 216, Woodbury, MN 55125 Phone: 651-738-4886 | |
Mr. Ryan Daniel Johnson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8362 Tamarack Village, Rm 108, Woodbury, MN 55125 Phone: 651-730-9662 | |
Gregory Michael Falk, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 10240 Hudson Rd, Wal-mart Vision Center, Woodbury, MN 55129 Phone: 651-735-5196 Fax: 651-735-5198 |