Organization · Type 2 NPI

Birch Lake Vision Group, Llc.

Optometrist · White Bear Lake, MN

NPI number 1609921899 Active

Practice location

4720 White Bear Pkwy
White Bear Lake, MN 55110-3336

Fax (651) 426-9838

Specialties and licenses

Taxonomy	Code	License
Optometrist Primary	152W00000X	LD1732000 (MN)
Optometrist	152W00000X	LD2695000 (MN)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

6 other providers at this address

Other optometrist providers in White Bear Lake

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NPI record

NPI: 1609921899
Entity type: Organization (Type 2)
Issued: Jan 25, 2007
Last updated: Dec 2, 2009
Status: Active

Other names

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Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic and Optica · doing business as

Authorized official

Dr. Brian Dwight Grudem, OD
CFO
(651) 426-2747

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About NPI 1609921899

Birch Lake Vision Group, Llc.'s National Provider Identifier is 1609921899, issued on Jan 25, 2007. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in White Bear Lake, MN. The record was last updated on Dec 2, 2009.