| Mr Michael Joel Johnson, OD | |
|
3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 | |
| (952) 993-3150 | |
| Not Available |
| Full Name | Mr Michael Joel Johnson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 3900 Park Nicollet Blvd, St Louis Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780710459 | NPI | - | NPPES |
| 531P4JO | Other | MN | BCBS |
| OP6854 | Other | MN | EYEMED |
| HP64503 | Other | MN | HEALTH PARTNERS |
| 133059 | Other | MN | UCARE |
| 22-03338 | Other | MN | MEDICA |
| A01991033717 | Other | MN | PREFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2818 (Minnesota) | Primary |
| Provider Name | Ovo Lasik And Lens Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770259087 PECOS PAC ID: 8921497751 Enrollment ID: O20211116001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Joel Johnson, OD 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 Ph: (952) 993-3150 | Mr Michael Joel Johnson, OD 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 Ph: (952) 993-3150 |
Icare Family Vision Plc Optometrist Medicare: Medicare Enrolled Practice Location: 6900 W Lake St, St Louis Park, MN 55426 Phone: 952-222-3578 | |
Dr. Karl J Bakken, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3150 | |
Mccarthy Complete Eye Care Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 3601 Highway 100 S, St Louis Park, MN 55416 Phone: 952-356-3544 Fax: 240-317-5185 | |
Dr. Alan H. Diamond, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7204 Minnetonka Blvd, St Louis Park, MN 55426 Phone: 952-928-7005 Fax: 952-928-4910 | |
Dr. Erin Marie Sinkoff, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3150 | |
Dr. Tyler J Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3150 | |
Beverly Jean Ludwig, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8332 Highway 7, Knollwood Mall, St Louis Park, MN 55426 Phone: 952-933-3722 |