| O'malley Marie Bosanic, OD | |
|
5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 | |
| (763) 546-8422 | |
| (763) 546-8114 |
| Full Name | O'malley Marie Bosanic |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 5851 Duluth St Ste 215, Golden Valley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477129054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3819 (Minnesota) | Primary |
| Provider Name | University Of Miami |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006 |
| Mailing Address | Practice Location Address |
|---|---|
| O'malley Marie Bosanic, OD 5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 Ph: (763) 546-8422 | O'malley Marie Bosanic, OD 5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 Ph: (763) 546-8422 |
Dr. Emily Ellingson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427 Phone: 763-416-7600 Fax: 763-416-7634 | |
Andrea Vanmeter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5851 Duluth St Ste 215, Golden Valley, MN 55422 Phone: 763-546-8422 | |
Dirk S Colby, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5851 Duluth St, Ste 215, Golden Valley, MN 55422 Phone: 763-546-8422 Fax: 763-546-8114 | |
Dr. Joyce K Mundahl, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427 Phone: 763-416-7600 Fax: 763-416-7634 | |
Andrea T Rossow, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5851 Duluth St, Suite 215, Golden Valley, MN 55422 Phone: 763-546-8422 Fax: 763-546-8114 |