| Theresia F Dixon, OD | |
| 
					344 E Broadway, Mall Of America, Bloomington, MN 55425-5514  | |
| (952) 858-8414 | |
| (952) 858-8416 | 
| Full Name | Theresia F Dixon | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 344 E Broadway, Bloomington, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932139003 | NPI | - | NPPES | 
| 301019800 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 2530 (Minnesota) | Primary | 
| Provider Name | Drs. North & Watson, Optometrists P. A. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1275560542 PECOS PAC ID: 7315913670 Enrollment ID: O20040908000639  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Theresia F Dixon, OD 344 E Broadway, Mall Of America, Bloomington, MN 55425-5514 Ph: (952) 858-8414  | Theresia F Dixon, OD 344 E Broadway, Mall Of America, Bloomington, MN 55425-5514 Ph: (952) 858-8414  | 
Dr. Frantz Junior Pierre Toussaint, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800  | |
Neda Tahvilian, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800  | |
Shayna Mellesmoen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9117 Lyndale Ave S, Bloomington, MN 55420 Phone: 952-835-1235  | |
Dr. Lori Louise Mowbray, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1650 W 82nd St, #800, Bloomington, MN 55431 Phone: 952-844-0844 Fax: 952-844-0810  | |
Dr. Scott D Hadden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 E 78th St, Bloomington, MN 55420 Phone: 952-854-2262 Fax: 952-854-5493  | |
Michael Daniel Scheidt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800  | |
Katie Aksoy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3835 W Old Shakopee Rd Ste 200, Bloomington, MN 55431 Phone: 651-461-0151  |