Provider Demographics
NPI:1013935501
Name:MCGREE, DENA L (OD)
Entity type:Individual
Prefix:DR
First Name:DENA
Middle Name:L
Last Name:MCGREE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:DENA
Other - Middle Name:L
Other - Last Name:BAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1011N FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-2662
Mailing Address - Country:US
Mailing Address - Phone:651-437-5469
Mailing Address - Fax:
Practice Address - Street 1:1011 N FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-2662
Practice Address - Country:US
Practice Address - Phone:651-437-7549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3047152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1047581OtherPREFERRED ONE
MN430020000Medicaid
MN695N7BAOtherBLUE CROSS BLUE SHIELD
MN2203408OtherMEDICA
MNDB3259OtherRAILROAD MEDICARE
HP69869OtherHEALTHPARTNERS
MNV09869Medicare UPIN
HP69869OtherHEALTHPARTNERS