| Rochester Family Eye Clinic Llc | |
|
3630 11th Ave Nw, Rochester, MN 55901-4276 | |
| (507) 288-2457 | |
| (507) 288-1299 |
| Full Name | Rochester Family Eye Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3630 11th Ave Nw, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831173335 | NPI | - | NPPES |
| 01017731 | Other | PREFERRED ONE | |
| 4C932EA | Other | MN | BLUE CROSS SHIELD |
| 52134JO | Other | MN | BLUE CROSS BLUE SHEILD MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Melissa K Downs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952385445 PECOS PAC ID: 6103841556 Enrollment ID: I20100818000766 |
| Provider Name | Mark A Kidman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447234554 PECOS PAC ID: 8123152667 Enrollment ID: I20100818001366 |
| Provider Name | Loren J Baldus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114339629 PECOS PAC ID: 2062637317 Enrollment ID: I20140701000362 |
| Provider Name | Daniel Marsac |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275935439 PECOS PAC ID: 6305147125 Enrollment ID: I20151222000010 |
| Provider Name | Wing Man Yip |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114373560 PECOS PAC ID: 3779873690 Enrollment ID: I20180608001118 |
| Provider Name | Levi Jacob Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497429815 PECOS PAC ID: 5799164976 Enrollment ID: I20220617001316 |
| Provider Name | Trevor Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669217212 PECOS PAC ID: 5991242976 Enrollment ID: I20240808001140 |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester Family Eye Clinic Llc 3630 11th Ave Nw, Rochester, MN 55901-4276 Ph: (507) 288-2457 | Rochester Family Eye Clinic Llc 3630 11th Ave Nw, Rochester, MN 55901-4276 Ph: (507) 288-2457 |
Huber Eyecare, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2711 Commerce Dr Nw, Suite 100, Rochester, MN 55901 Phone: 773-802-5829 | |
Dr. Jodi M. Moore-weiss, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Huber Eyecare, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1161 Maine Ave Se #4430, Target Optical, Rochester, MN 55904 Phone: 507-206-5020 | |
Dr. Eva Y So, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3630 11th Ave Nw, Rochester, MN 55901 Phone: 507-288-2457 Fax: 507-288-1299 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1620 Broadway Ave S Ste 4, Rochester, MN 55904 Phone: 507-281-0657 | |
Trevor Phillips, Optometrist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Dr. Loren John Baldus, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3630 11th Ave Nw, Rochester, MN 55901 Phone: 507-288-2457 |