| Mark Korthals, OD | |
|
13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 | |
| (763) 420-5112 | |
| (763) 420-6957 |
| Full Name | Mark Korthals |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 21 Years |
| Location | 13195 Weaver Lake Rd, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215091749 | NPI | - | NPPES |
| 151668000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2972 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minnesota Optical Llc | 1557528841 | 5 |
| Hutchinson Superstore Inc | 6901835636 | 3 |
| Provider Name | Hutchinson Superstore Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225127756 PECOS PAC ID: 6901835636 Enrollment ID: O20050811000990 |
| Provider Name | Minnesota Optical Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831303437 PECOS PAC ID: 1557528841 Enrollment ID: O20120221000953 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Korthals, OD 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 Ph: (763) 420-5112 | Mark Korthals, OD 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 Ph: (763) 420-5112 |
Scott A Frick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13645 Grove Dr N, Maple Grove, MN 55311 Phone: 763-420-8030 Fax: 763-420-9842 | |
Tlc Of The Twin Cities Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11330 Fountains Dr, Maple Grove, MN 55369 Phone: 763-494-8061 | |
Dr. Kelly Crenna, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13195 Weaver Lake Rd, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957 | |
Renee M Ritzer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13195 Weaver Lake Road, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957 | |
Dr. Brad Alan Weeks, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 12750 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-553-1811 Fax: 763-553-0131 | |
Optometric Eye Care Centers, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 7880 Main St N, Maple Grove, MN 55369 Phone: 763-420-6981 Fax: 763-773-7253 | |
Maple Grove Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 9885 Maple Grove Parkway, Maple Grove, MN 55369 Phone: 952-807-4173 |