| Michelle Penshorn, OD | |
|
225 Se Main St, Minneapolis, MN 55414-2124 | |
| (612) 379-1555 | |
| (612) 379-1554 |
| Full Name | Michelle Penshorn |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 15 Years |
| Location | 225 Se Main St, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689980161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3852 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eagan Eye Clinic Llc | 0345220745 | 44 |
| Provider Name | Eagan Eye Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477732337 PECOS PAC ID: 0345220745 Enrollment ID: O20040726000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Penshorn, OD 225 Se Main St, Minneapolis, MN 55414-2124 Ph: (612) 379-1555 | Michelle Penshorn, OD 225 Se Main St, Minneapolis, MN 55414-2124 Ph: (612) 379-1555 |
Nicollet Vision Care Optometrists P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3142 Hennepin Ave, Minneapolis, MN 55408 Phone: 612-822-7021 | |
The Eye Doctors Office, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4999 France Ave S, Suite 140, Minneapolis, MN 55410 Phone: 612-440-2020 Fax: 612-440-0202 | |
Dr. Xuanmai Thi Ta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2718 Nicollet Ave, Suite No. 103, Minneapolis, MN 55408 Phone: 612-871-1518 Fax: 612-871-2585 | |
Dr. Theodore Lester Hansen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 115 East Lake St, Minneapolis, MN 55408 Phone: 612-827-3857 Fax: 612-827-7204 | |
Kari Maffitt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3553 Hennepin Ave, Minneapolis, MN 55408 Phone: 612-822-5844 Fax: 612-827-3418 | |
Dr. David Paul Parupsky, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1304 4th St Se, Dinkytown Optical, Minneapolis, MN 55414 Phone: 612-331-7100 Fax: 612-331-7100 | |
Moulay Younes Elidrissi, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 720 W Lake St # 107, Minneapolis, MN 55408 Phone: 612-216-4705 |