Individual
J SCOTT ENDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5730 BOTTINEAU BLVD., CRYSTAL, MN 55429-3181
(763) 537-3213
(763) 537-6732
Mailing address
5730 BOTTINEAU BLVD., CRYSTAL, MN 55429-3181
(763) 537-3213
(763) 537-6732
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2303
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109241
UCARE SRS AND MN
MN
01
—
130870
COLE MANAGED VISION
MN
01
—
22-01009
SELECT CARE
MN
01
—
22-01178
MEDICA CHOICE
MN
01
—
22-01181
MEDICA PRIMARY
MN
01
—
23706
ARAZ/AMERICA'S PPO
MN
05
—
320725100
—
MN
01
—
410001614
MEDICARE
MN
01
—
410049467
MEDICARE RAILROAD
MN
01
—
4C413EN
BLUE CROSS/BLUE SHIELD
MN
01
—
644S7EN
BLUE CROSS/BLUE SHIELD
MN
01
—
935300695003
PREFERRED ONE
MN
01
—
964110695003
PREFERRED ONE
MN
01
—
HP17523
HEALTH PARTNERS
MN
Enumeration date
06/08/2005
Last updated
05/22/2023
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