| Doffin Family Eye Care Pa | |
|
4750 Washington Sq, White Bear Lake, MN 55110-3257 | |
| (651) 429-3379 | |
| (651) 429-8681 |
| Full Name | Doffin Family Eye Care Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4750 Washington Sq, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346291630 | NPI | - | NPPES |
| 27679RU | Other | MN | BLUE CROSS BLUE SHIELD |
| 105474 | Other | MN | UCARE |
| 2200089 | Other | MN | MEDICA |
| 2117748 | Other | MN | MEDICA-DME |
| 29623WH | Other | MN | BLUE CROSS BLUE SHIELD |
| 307262200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jaclyn Elizabeth Doffin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053360701 PECOS PAC ID: 9032172606 Enrollment ID: I20041105000224 |
| Provider Name | David M Perry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740230580 PECOS PAC ID: 0143283713 Enrollment ID: I20100320000096 |
| Provider Name | Elizabeth A Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427000397 PECOS PAC ID: 2769517382 Enrollment ID: I20100320000104 |
| Provider Name | Allyson K Caspers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588615413 PECOS PAC ID: 1557497542 Enrollment ID: I20100329001134 |
| Provider Name | Anna Lee Percival |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972179547 PECOS PAC ID: 2860894466 Enrollment ID: I20210706000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Doffin Family Eye Care Pa 4750 Washington Sq, White Bear Lake, MN 55110-3257 Ph: (651) 429-3379 | Doffin Family Eye Care Pa 4750 Washington Sq, White Bear Lake, MN 55110-3257 Ph: (651) 429-3379 |
Jaclyn Elizabeth Doffin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4750 Washington Sq, White Bear Lake, MN 55110 Phone: 651-429-3379 Fax: 651-429-8681 | |
Dr. Paul Christopher Onderick, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3827 White Bear Ave N, White Bear Lake, MN 55110 Phone: 651-426-1051 | |
Dr. Brian Dwight Grudem, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4720 White Bear Pkwy, White Bear Lake, MN 55110 Phone: 651-426-2747 Fax: 651-426-9838 | |
Dr. Kevin David Lucas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4720 White Bear Pkwy, White Bear Lake, MN 55110 Phone: 651-426-2747 Fax: 651-426-9838 | |
Elizabeth A Roberts, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4750 Washington Sq, White Bear Lake, MN 55110 Phone: 651-429-3379 Fax: 651-429-8681 | |
Allyson K Caspers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4750 Washington Sq, White Bear Lake, MN 55110 Phone: 651-429-3379 Fax: 651-429-8681 |