Individual
MOLLY RAE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
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
3305
MN
152WC0802X
Corneal and Contact Management Optometrist
3305
MN
152WP0200X
Pediatric Optometrist
3305
MN
152WS0006X
Sports Vision Optometrist
3305
MN
152WV0400X
Vision Therapy Optometrist
3305
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004690876
AETNA
MN
01
—
00220006846
UNITEDHEALTHCARE
MN
01
—
0FD80MC
BLUE CROSS BLUE SHIELD OF MN
MN
01
—
201502
UCARE
MN
01
—
22-0006846
MEDICA
MN
01
—
961571081533
PREFERREDONE
MN
01
—
HP153144
HEALTH PARTNERS
MN
01
—
P01484181
RAILROAD MEDICARE
—
Enumeration date
09/11/2012
Last updated
10/09/2024
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