Individual
BENJAMIN J FOGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9801 DUPONT AVE S STE 200, BLOOMINGTON, MN 55431-3200
(952) 888-5800
(952) 567-6156
Mailing address
9801 DUPONT AVE S, SUITE 425, BLOOMINGTON, MN 55431-3100
(952) 567-6092
(952) 567-6176
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3019
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
769412100
—
MN
01
—
P00362877
RAILROAD MEDICARE
MN
Enumeration date
09/14/2005
Last updated
09/15/2020
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