Dr Richard D Bruesch, Pa | |
200 12th St Sw, Forest Lake, MN 55025-1482 | |
(651) 464-9767 | |
(651) 464-9062 |
Full Name | Dr Richard D Bruesch, Pa |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 200 12th St Sw, Forest Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912115999 | NPI | - | NPPES |
21000260 | Other | MN | MEDICA |
2201835 | Other | MN | MEDICA |
5C945BR | Other | MN | BCBS OF MN |
5C946BR | Other | MN | BCBS OF MN |
167933 | Other | MN | UCARE |
412481029770 | Other | MN | PREFERREDONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | MN2622 (Minnesota) | Primary |
Provider Name | Richard D Bruesch |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922119486 PECOS PAC ID: 8527150911 Enrollment ID: I20070815000052 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard D Bruesch, Pa 200 12th St Sw, Forest Lake, MN 55025-1482 Ph: (651) 464-9767 | Dr Richard D Bruesch, Pa 200 12th St Sw, Forest Lake, MN 55025-1482 Ph: (651) 464-9767 |
Dr. Roy William Backus, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 12th St Sw, Forest Lake, MN 55025 Phone: 651-464-9767 Fax: 651-464-9062 | |
North Woods Optics Optometrist Medicare: Medicare Enrolled Practice Location: 20 Lake St N, Forest Lake, MN 55025 Phone: 651-464-4824 Fax: 651-464-0003 | |
Dr. Gregory Donald Jones, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: Walmart Vision Ctr #2274, 200 Ksw 12th St, Forest Lake, MN 55025 Phone: 651-464-9767 | |
Dr. Scott R Telander, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20 Lake St N, Suite 101, Forest Lake, MN 55025 Phone: 651-464-4824 Fax: 651-464-0003 | |
Dr. Kevin Lee Bahr, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20 Lake St N, #104, Forest Lake, MN 55025 Phone: 651-464-4824 Fax: 651-464-0003 | |
Dr. Sean Philip Bell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 356 12th St Sw, Forest Lake, MN 55025 Phone: 651-464-1955 |