Individual
DR. KENNETH DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1850 1ST AVE NE, LITTLE FALLS, MN 56345-3381
(320) 632-2391
(320) 632-2392
Mailing address
22050 205TH AVE, LITTLE FALLS, MN 56345-5694
(320) 745-2121
(320) 632-2392
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2809
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0484240001
DMERC
MN
01
—
169168
UCARE
MN
01
—
22-02502
MEDICA
MN
01
—
271L9DO
BCBS
MN
05
—
520042300
—
MN
01
—
931161031064
PREFERRED ONE
MN
Enumeration date
01/30/2007
Last updated
04/28/2022
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