Provider Demographics
NPI:1689678633
Name:HESS, JAMES J (OD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:HESS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:135 N SIBLEY AVE
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55355-2138
Mailing Address - Country:US
Mailing Address - Phone:320-593-3100
Mailing Address - Fax:320-593-2312
Practice Address - Street 1:135 N SIBLEY AVE
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55355-2138
Practice Address - Country:US
Practice Address - Phone:320-593-3100
Practice Address - Fax:320-593-2312
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1726152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2201181OtherMEDICA PRIMARY
MN23709OtherARAZ/AMERICA'S PPO
MN2201179OtherSELECT CARE
MNHP28010OtherHEALTH PARTNERS
MN935300648002OtherPREFERRED ONE
MN101880OtherUCARE SRS AND MN
MN2205475OtherSELECT CARE
MN4C600HEOtherBLUE CROSS/BLUE SHIELD
MN144823400Medicaid
MN2205475OtherMEDICA CHOICE
MN410028968OtherMEDICA RAILROAD
MN10905OtherCOLE MANAGED VISION
MN2201179OtherMEDICA CHOICE
MN644S9HEOtherBLUE CROSS/BLUE SHIELD
MN964110648002OtherPREFERRED ONE
MN10905OtherCOLE MANAGED VISION
MN2205475OtherMEDICA CHOICE
MN144823400Medicaid