Birch Lake Vision Group, Llc.

  • 1609921899 NPI Number
  • |
  • Actived: 17 years ago
  • |
Birch Lake Vision Group, Llc. is a health care provider based in White Bear Lake, MN. The NPI Number is 1609921899 and it has been active since 17 years ago. The specialty is Optometrist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Optometrist services, Birch Lake Vision Group, Llc. is an excellent option. We are here to help you get the care you need.

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Overview of Birch Lake Vision Group, Llc.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 01/25/2007
  • Last updated: 12/02/2009

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: LD2695000
  • License State: MN

Provider Mailing Address

  • Address: 4720 White Bear Pkwy
    White Bear Lake, MN 55110
  • Phone: 651-426-2747
  • Fax: 651-426-9838

Provider Practice Location

  • Address: 4720 White Bear Pkwy
    White Bear Lake, MN 55110
  • Phone: 651-426-2747
  • Fax: 651-426-9838

Authorized Official

  • Name: DR. Brian Dwight Grudem O.D.
  • Position/Title: Cfo
  • Telephone Number: 651-426-2747

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: LD1732000
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 22-02690
  • Identifier Type: Other
  • Identifier State: MN
  • Issuer: MEDICA (BIRCH LAKE)

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Birch Lake Vision Group, Llc.?
  • A: The npi number for Birch Lake Vision Group, Llc. is 1609921899.
  • Q: What are Birch Lake Vision Group, Llc.'s specialties?
  • A: Birch Lake Vision Group, Llc.'s specialties are Optometrist and different specialities.
  • Q: Where is Birch Lake Vision Group, Llc. business practice location?
  • A: Birch Lake Vision Group, Llc. business practice location is 4720 White Bear Pkwy, White Bear Lake, MN 55110.
  • Q: How to contact Birch Lake Vision Group, Llc.?
  • A: You can contact Birch Lake Vision Group, Llc. via 651-426-2747.
  • Q: What is the authorized official for Birch Lake Vision Group, Llc.?
  • A: The authorized office name is DR. Brian Dwight Grudem O.D. with position/title is Cfo and you can reach the authorized official via phone number 6514262747.
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