Kenneth Dodge is a Optometrist in Little Falls, Minnesota. Kenneth Dodge practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenneth Dodge is 1346387503. The last update date is 2022-04-28.
Kenneth Dodge's current location address is 22050 205th Ave, Little Falls, Minnesota. You can contact this provider via phone number 3207452121 and fax number 3206322392. The mailing address for Kenneth Dodge is 22050 205th Ave, Little Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Dodge |
|---|---|
| Address | 22050 205th Ave, Little Falls, Minnesota |
| Phone Number | 3207452121 |
| Fax Number | 3206322392 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1346387503 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2022-04-28 |
Provider Mailing Address Detail
| Address | 22050 205th Ave |
|---|---|
| City | Little Falls |
| State | Minnesota (MN) |
| Post Code | 563455694 |
| Phone Number | 3207452121 |
| Fax Number | 3206322392 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2809 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22-02502 | MN | MEDICA | |
| 271L9DO | MN | BCBS | |
| 520042300 | MN | -- | |
| 484240001 | MN | DMERC | |
| 169168 | MN | UCARE | |
| 931161031064 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth Dodge by the Centers for Medicare & Medicaid Services?
The Kenneth Dodge has been assigned the NPI (National Provider Identifier) 1346387503 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kenneth Dodge's facilities are geographically located?
The facilities of Kenneth Dodge are physically situated at the following location: 22050 205Th Ave, Little Falls, MN, 563455694.
What is Kenneth Dodge's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth Dodge is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did the Kenneth Dodge receive its 1346387503?
The Kenneth Dodge was issued its 1346387503 on 2007-01-30, which is the date when the organization was assigned this unique identifier.
As of what date were the Kenneth Dodge's details last updated?
The information pertaining to the Kenneth Dodge, including its address, specialty, and other details, was most recently updated on 2022-04-28.