Individual
RODNEY JEROME HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
19022 FREEPORT AVE NW, ELK RIVER, MN 55330-4767
(763) 441-1055
(763) 441-7024
Mailing address
19022 FREEPORT AVE NW, SUITE H, ELK RIVER, MN 55330-4767
(763) 441-1055
(763) 441-7024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2535
MN
152WC0802X
Corneal and Contact Management Optometrist
2535
MN
152WP0200X
Pediatric Optometrist
2535
MN
152WX0102X
Occupational Vision Optometrist
2535
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009722
PREFERRED ONE
MN
01
—
115817
UCARE
MN
01
—
22-01028
MEDICA
MN
01
—
410047336
RAILROAD MEDICARE
MN
01
—
4C529HE
BLUE CROSS BLUE SHIELD
MN
05
—
858814700
—
MN
01
—
HP18116
HEALTH PARTNERS
MN
Enumeration date
07/11/2006
Last updated
05/12/2008
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