Individual
ANTHONY LOUIS LOVCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12131 ELM CREEK BLVD N, MAPLE GROVE, MN 55369-7093
(763) 416-1983
(763) 416-4084
Mailing address
7516 MARINER DR, MAPLE GROVE, MN 55311-2613
(763) 420-6647
(763) 416-4084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2638
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124155
AMERICAS PPO
FM
01
—
219101031048
PREFFERED
MN
01
—
2202189
MEDICA
MN
01
—
2202456
MEDICA BROOKDALE
MN
01
—
60P14L0
BCBS
MN
01
—
HP37578
HEALTH PARTNERS
FM
Enumeration date
02/21/2007
Last updated
07/09/2007
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