| Mr John Mark Cavanagh, OD | |
|
2655 Innsbruck Dr, Suite B, New Brighton, MN 55112-9303 | |
| (651) 636-2020 | |
| (651) 633-5036 |
| Full Name | Mr John Mark Cavanagh |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 37 Years |
| Location | 2655 Innsbruck Dr, New Brighton, 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 |
|---|---|---|---|
| 1205921368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2236 (Minnesota) | Primary |
| Provider Name | Academy Contact Lens Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639202559 PECOS PAC ID: 1850418476 Enrollment ID: O20101105000094 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Mark Cavanagh, OD 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112-9303 Ph: (651) 636-2020 | Mr John Mark Cavanagh, OD 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112-9303 Ph: (651) 636-2020 |
Spectacle Shoppe Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 2050 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-636-3434 Fax: 651-636-4999 | |
Dr. David H. Hess, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2202 Rockstone Ln, New Brighton, MN 55112 Phone: 952-484-2040 | |
Academy Contact Lens Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112 Phone: 651-636-2020 Fax: 651-633-5036 |