Richard David Bruesch, OD | |
200 12th St Sw, Forest Lake, MN 55025-1482 | |
(651) 464-9767 | |
Not Available |
Full Name | Richard David Bruesch |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 27 Years |
Location | 200 12th St Sw, Forest Lake, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922119486 | NPI | - | NPPES |
5C945BR | Other | MN | BC/BS GRP # |
5C946BR | Other | MN | BC/BS IND # |
BR746478 | Other | MN | CLARITY VISION |
152233 | Other | MN | COLE VISION |
412481029770 | Other | MN | PREFERREDONE |
922683 | Other | MN | BLOCK VISION |
16824 | Other | MN | SPECTERA |
2100260 | Other | MN | MEDICA DISP |
2201835 | Other | MN | MEDICA |
49536 | Other | MN | DAVIS VISION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2622 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forest Lake Optometric Center | 7012064298 | 3 |
Provider Name | Dr Richard D Bruesch Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912115999 PECOS PAC ID: 3971695362 Enrollment ID: O20070815000057 |
Provider Name | Forest Lake Optometric Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053473835 PECOS PAC ID: 7012064298 Enrollment ID: O20090403000241 |
Mailing Address | Practice Location Address |
---|---|
Richard David Bruesch, OD 13941 Redwood St Nw, Andover, MN 55304-4135 Ph: (651) 464-9767 | Richard David Bruesch, OD 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 | |
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 |