Individual
DR. ANTHONY MICHAEL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
20094 KENWOOD TRL, LAKEVILLE, MN 55044-5404
(952) 469-3937
(877) 795-9884
Mailing address
20094 KENWOOD TRL, LAKEVILLE, MN 55044-5404
(952) 469-3937
(877) 795-9884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1916
MN
152WC0802X
Corneal and Contact Management Optometrist
1916
MN
152WL0500X
Low Vision Rehabilitation Optometrist
1916
MN
152WP0200X
Pediatric Optometrist
1916
MN
152WS0006X
Sports Vision Optometrist
1916
MN
152WV0400X
Vision Therapy Optometrist
1916
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101851
UCARE FOR SENIORS
MN
01
—
1103802
UNITED HEALTHCARE
—
01
—
2204924
MEDICA CHOICE
MN
01
—
4303789
AETNA
MN
01
—
56419MC
BCBS OF MN
MN
01
—
HP15243
HEALTHPARTNERS
MN
01
—
N007
TRICARE
MN
Enumeration date
10/14/2005
Last updated
10/09/2024
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