Trevor Phillips, | |
200 1st St Sw, Rochester, MN 55905-1119 | |
(507) 284-2511 | |
Not Available |
Full Name | Trevor Phillips |
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Gender | Male |
Speciality | Optometrist |
Location | 200 1st St Sw, Rochester, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104668060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4002 (Minnesota) | Primary |
152W00000X | Optometrist | OPC6475 (Florida) | Secondary |
Provider Name | University Of Miami |
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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 |
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Trevor Phillips, Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 284-2511 | Trevor Phillips, 200 1st St Sw, Rochester, MN 55905-1119 Ph: (507) 284-2511 |
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 | |
Dr. Loren John Baldus, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3630 11th Ave Nw, Rochester, MN 55901 Phone: 507-288-2457 |