MEDICARE: ELIZABETH A ROBERTS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2553	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110387	OTHER	MN	UCARE
2	2201001	OTHER	MN	MEDICA
3	HP19487	OTHER	MN	HEALTH PARTNERS
4	1010370	OTHER	MN	PREFERRED ONE
5	4C748RO	OTHER	MN	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1427000397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH A ROBERTS O.D.

Provider Business Mailing Address
First Line	:	4750 WASHINGTON SQ
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-3257
Country	:	US
Telephone Number	:	651-429-3379
Fax Number	:	651-429-8681

Provider Business Practice Location Address
First Line	:	4750 WASHINGTON SQ
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-3257
Country	:	US
Telephone Number	:	651-429-3379
Fax Number	:	651-429-8681

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1053360701 — JACLYN ELIZABETH DOFFIN O.D.
Practice Location Address:

4750 WASHINGTON SQ
WHITE BEAR LAKE, MN
55110-3257

Practice Phone: 651-429-3379
Practice Fax: 651-429-8681

1740230580 — DAVID MICHAEL PERRY O.D.
Practice Location Address:

4750 WASHINGTON SQ
WHITE BEAR LAKE, MN
55110-3257

Practice Phone: 651-429-3379
Practice Fax: 651-429-8681

1346291630 — DOFFIN FAMILY EYE CARE PA
Practice Location Address:

4750 WASHINGTON SQ
WHITE BEAR LAKE, MN
55110-3257

Practice Phone: 651-429-3379
Practice Fax: 651-429-8681

1588615413 — ALLYSON K CASPERS O.D.
Practice Location Address:

4750 WASHINGTON SQ
WHITE BEAR LAKE, MN
55110-3257

Practice Phone: 651-429-3379
Practice Fax: 651-429-8681

1073525184 — DR. CHARLES FRANCIS KAMINSKI JR. DDS
Practice Location Address:

4754 WASHINGTON SQUARE
WHITE BEAR LAKE, MN
55110-3257

Practice Phone: 651-426-9499
Practice Fax: 651-429-6255

1659810604 — STEVEN LINDEN JR.
Practice Location Address:

4754 WASHINGTON SQ
WHITE BEAR LAKE, MN
55110-3257

Practice Phone: 651-426-9499
Practice Fax:

Directions to “ ELIZABETH A ROBERTS O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.