Lynn Alan Sulerud, OD | |
12170 Aberdeen St Ne, Blaine, MN 55449-4716 | |
(763) 757-7000 | |
(763) 757-3328 |
Full Name | Lynn Alan Sulerud |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 12170 Aberdeen St Ne, Blaine, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013060409 | NPI | - | NPPES |
844523100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1698 (Minnesota) | Primary |
Provider Name | Blaine Eye Clinic Optometrists, P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043363401 PECOS PAC ID: 2264479575 Enrollment ID: O20050408000253 |
Mailing Address | Practice Location Address |
---|---|
Lynn Alan Sulerud, OD 12170 Aberdeen St Ne, Blaine, MN 55449-4716 Ph: (763) 757-7000 | Lynn Alan Sulerud, OD 12170 Aberdeen St Ne, Blaine, MN 55449-4716 Ph: (763) 757-7000 |
Megan Marie Sis, OD, MS, FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12170 Aberdeen St Ne, Blaine, MN 55449 Phone: 763-757-7000 Fax: 763-757-3328 | |
Dr. Rahul Farmah, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 680 Hwy 10 Ne, Blaine, MN 55434 Phone: 763-785-2200 | |
Blaine Eye Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 12170 Aberdeen St Ne, Blaine, MN 55449 Phone: 763-757-7000 Fax: 763-757-3328 | |
Mrs. Alisha Duffy Mcafee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 109th Ave Ne, Blaine, MN 55449 Phone: 763-354-1003 | |
Bf Eye Care Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 10995 Club West Parkway, Suite 500, Blaine, MN 55449 Phone: 763-717-0072 Fax: 763-717-0074 | |
Mrs. Breann Marie Forliti, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12170 Aberdeen St Ne, Blaine, MN 55449 Phone: 763-757-7000 Fax: 763-757-3328 |