Dr Roy William Backus, OD | |
200 12th St Sw, Forest Lake, MN 55025-1482 | |
(651) 464-9767 | |
(651) 464-9062 |
Full Name | Dr Roy William Backus |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 200 12th St Sw, Forest Lake, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003922030 | NPI | - | NPPES |
22-14902 | Other | MN | MEDICA |
48705 | Other | MN | DAVIS VISION |
4100006627 | Medicaid | MN | |
6C258BA | Other | MN | BCBS |
152144 | Other | MN | COLE VISION |
410042867 | Other | MN | RAILROAD PROVIDER # |
212298 | Other | MN | BCBS OPTI CHOICE # |
12060 | Other | MN | SPECTERA |
489437500 | Other | MN | MN HEALTH CARE PROVIDER # |
71-0415188 | Other | MN | SUPERIOR VISION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2520 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Roy William Backus, OD 38050 Jeffery Ave, North Branch, MN 55056-5908 Ph: (651) 237-0330 | Dr Roy William Backus, OD 200 12th St Sw, Forest Lake, MN 55025-1482 Ph: (651) 464-9767 |
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 | |
Dr Richard D Bruesch, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 200 12th St Sw, Forest Lake, MN 55025 Phone: 651-464-9767 Fax: 651-464-9062 |