Dr. Kenneth Dodge is a Little Falls, Minnesota based male Optometrist with 23 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 2001. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Kenneth Dodge is 2809 for Optometry in Minnesota. Dr. Kenneth Dodge examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Kenneth Dodge speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
23+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2001
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
1850 1st Ave Ne, Little Falls, Minnesota, 56345-3381
Phone:
320-632-2391
Fax:
320-632-2392
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2769468693
Enrollment ID:
I20040629001458
NPI Number:
1346387503
NPI Enumeration Date:
30 Jan, 2007
NPI Last Update On:
28 Apr, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Dodge are as mentioned below.
License Number
Specialization
State
Status
2809
Optometry
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Dodge such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
22-02502
Other
Minnesota
MEDICA
271L9DO
Other
Minnesota
BCBS
520042300
Medicaid
Minnesota
0484240001
Other
Minnesota
DMERC
169168
Other
Minnesota
UCARE
931161031064
Other
Minnesota
PREFERRED ONE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
22050 205th Ave, Little Falls, Minnesota
Zip:
56345-5694
Phone Number:
320-745-2121
Fax Number:
320-632-2392
Patients can reach Dr. Kenneth Dodge at 1850 1st Ave Ne, Little Falls, Minnesota or can call to book an appointment on 320-632-2391. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.