Mark Korthals is a Maple Grove, Minnesota based male Optometrist with 20 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 2004. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mark Korthals is 2972 for Optometry in Minnesota. Mark Korthals 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:
Mark Korthals 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:
20+ years
Medical School Attended:
Illinois College Of Optometry At Chicago
Graduation Year:
2004
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
13195 Weaver Lake Rd, Maple Grove, Minnesota, 55369-9410
Phone:
763-420-5112
Fax:
763-420-6957
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:
6002875879
Enrollment ID:
I20041007000195
NPI Number:
1215091749
NPI Enumeration Date:
20 Dec, 2006
NPI Last Update On:
04 Sep, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Korthals are as mentioned below.
License Number
Specialization
State
Status
2972
Optometry
Minnesota
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mark Korthals has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Brokea Inc. (9537328075)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Korthals such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
151668000
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
13195 Weaver Lake Rd, Maple Grove, Minnesota
Zip:
55369-9410
Phone Number:
763-420-5112
Fax Number:
763-420-6957
Patients can reach Mark Korthals at 13195 Weaver Lake Rd, Maple Grove, Minnesota or can call to book an appointment on 763-420-5112. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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