Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica

Optometrist Center


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

 651-426-2747     651-426-9838Maps & Directions
Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica is a Optometrist Center in White Bear Lake, Minnesota. It is situated at 4720 White Bear Pkwy, White Bear Lake and its contact number is 651-426-2747. The authorized person of Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica is Dr. Brian Dwight Grudem who is Cfo of the clinic and their contact number is 651-426-2747. Primary license number for Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica is LD1732000 (Optometrist) in Minnesota.
Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica Center have optometrists who can 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. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Center Profile:
Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica Center speciality, address, contact phone number and fax are as below. Patients can call the eye care center on the below given phone number for appointment.
Specialization: Optometry
Clinic Address:4720 White Bear Pkwy, White Bear Lake,
Minnesota, 55110-3336
Phone:651-426-2747
Fax:651-426-9838
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: Dr. Brian Dwight Grudem
Position: Cfo
Contact Number: 651-426-2747
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica Center are as mentioned below.
NPI Number: 1609921899
NPI Enumeration Date: 25 Jan, 2007
NPI Last Update On: 02 Dec, 2009

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica are as mentioned below.
SpecializationLicense NumberStateStatus
Optometrist LD1732000MinnesotaPrimary
Optometrist LD2695000MinnesotaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
22-01733OtherMinnesotaMedica (birch Lake)
244ROLUOtherMinnesotaBlue Cross Blue Shield
P00116310OtherMinnesotaMedicare Railroad Retirem
P00124841OtherMinnesotaMedicare Railroad Retirem
22-02690OtherMinnesotaMedica (birch Lake)
965401019270OtherMinnesotaPreferred One
22-02779OtherMinnesotaMedica (village)
HP29577OtherMinnesotaHealth Partners
ON456GROtherMinnesotaBcbs
22-02780OtherMinnesotaMedica (village Clinic)
965400656001OtherMinnesotaPreferred One
HP27080OtherMinnesotaHealth Partners
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica
4720 White Bear Pkwy,
White Bear Lake, Minnesota
Zip: 55110-3336
Phone Number: 651-426-2747
Fax Number: 651-426-9838
Patients can reach Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica at 4720 White Bear Pkwy, White Bear Lake, Minnesota or can call to book an appointment on 651-426-2747. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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