Home » Minnesota » 56572 » Jeffrey Lee Mackner

Jeffrey Lee Mackner (OD)

Dr. Jeffrey Lee Mackner (OD) is a health care provider specializes in Optometrist. He is associated with medical group practice MINNESOTA EYECARE NETWORK, INC.

profile-icon Basic Information

Practice Location 20 South Broadway, Pelican Rapids, MN 56572, US
Practice Location Phone218-863-7061
Practice Location Fax218-863-7062
GenderMale
Specialty InOptometrist
Medical SchoolPacific University - College Of Optometry
Graduation Year1991
NPI ?1598789893
PECOS ID6507835667
Enrollment IDI20040930000140
Entity TypeIndividual
Enumeration Date ? Jul 27, 2006
Last Update Date ? Jan 11, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Jeffrey Lee Mackner

SpecialtySpecializationLicenseLicense State
Optometrist 2365Minnesota

Medicare-icon Medicare Participation of Jeffrey Lee Mackner

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health RecordsYes
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Jeffrey Lee Mackner

Medical Group PracticeMinnesota Eyecare Network, Inc.

legacy-id-icon Legacy Provider IDs of Jeffrey Lee Mackner

Provider IdIssuer StateIssuer TypeIssuer
541525000MinnesotaMedicaid
410035867MinnesotaMedicare Pin
410000671MinnesotaMedicare Id-type Unspecified
U24192MinnesotaMedicare Upin