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NPI · 1609921899 · NPPES-sourced

Birch Lake Vision Group, Llc.

ActiveOptometrist
NPI Number
1609921899
Type 2 · Organisation
Taxonomy Code
152W00000X
Contact
(651) 426-2747
License MN · LD1732000
Last Updated
Enumerated
Primary practice addressMN · 55110-3336
4720 White Bear PkwyWhite Bear Lake, MN 55110-3336
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About this NPIWhat this record shows.

NPI 1609921899 is registered to Birch Lake Vision Group, Llc., a healthcare organisation classified as "Optometrist" and located at 4720 White Bear Pkwy in White Bear Lake, Minnesota. The organisation's authorised official is Brian Grudem. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 22-01733MN· Issued by MEDICA (BIRCH LAKE)
  • 244ROLUMN· Issued by BLUE CROSS BLUE SHIELD
  • P00116310MN· Issued by MEDICARE RAILROAD RETIREM
  • P00124841MN· Issued by MEDICARE RAILROAD RETIREM
  • 22-02690MN· Issued by MEDICA (BIRCH LAKE)
  • 965401019270MN· Issued by PREFERRED ONE
  • 22-02779MN· Issued by MEDICA (VILLAGE)
  • HP29577MN· Issued by HEALTH PARTNERS
  • ON456GRMN· Issued by BCBS
  • 22-02780MN· Issued by MEDICA (VILLAGE CLINIC)
  • 965400656001MN· Issued by PREFERRED ONE
  • HP27080MN· Issued by HEALTH PARTNERS

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Birch Lake Vision Group, Llc. accepts. To confirm in-network status with your specific health plan, contact Birch Lake Vision Group, Llc. directly at (651) 426-2747.

Frequently asked

Yes. NPI 1609921899 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (651) 426-2747.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Birch Lake Vision Group, Llc. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy152W00000X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Optometrist providers in Minnesota.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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