Individual
DR. JOSAN WAI-TAK KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4620 OAK GROVE PKWY N, BROOKLYN PARK, MN 55443-4062
(763) 315-0909
Mailing address
4620 OAK GROVE PKWY N, BROOKLYN PARK, MN 55443-4062
(763) 315-0909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2869
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649348681
—
MN
01
—
166K5KO
BCBSM
MN
01
—
181414
UCARE MINNESOTA
MN
01
—
19982
NVA
MN
01
—
22-02901
MEDICA
MN
01
—
244301040082
PREFERRED ONE
MN
01
—
26833
SPECTERA
MN
05
—
697670100
—
MN
01
—
9529921700
PATIENT CHOICE
MN
01
—
J52607
DAVIS VISION
MN
01
—
MN02869
VBA
MN
Enumeration date
11/30/2006
Last updated
03/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us