Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica - Medicare Optometrist in White Bear Lake, MN

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Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica is a medicare enrolled "Optometrist" provider in White Bear Lake, Minnesota. Their current practice location is 4720 White Bear Pkwy, White Bear Lake, Minnesota. You can reach out to their office (for appointments etc.) via phone at (651) 426-2747.

Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica is licensed to practice in Minnesota (license number LD1732000) and it also participates in the medicare program. Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1609921899.

Contact Information

Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica
4720 White Bear Pkwy,
White Bear Lake, MN 55110-3336
(651) 426-2747
(651) 426-9838

Map and Direction




Healthcare Provider's Profile

Full NameBirch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica
TypeFacility
SpecialityOptometrist
Location4720 White Bear Pkwy, White Bear Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609921899
  • Provider Enumeration Date: 01/25/2007
  • Last Update Date: 12/02/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0941297402
  • Enrollment ID: O20040427000996

Medical Identifiers

Medical identifiers for Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609921899NPI-NPPES
22-01733OtherMNMEDICA (BIRCH LAKE)
244ROLUOtherMNBLUE CROSS BLUE SHIELD
P00116310OtherMNMEDICARE RAILROAD RETIREM
P00124841OtherMNMEDICARE RAILROAD RETIREM
22-02690OtherMNMEDICA (BIRCH LAKE)
965401019270OtherMNPREFERRED ONE
22-02779OtherMNMEDICA (VILLAGE)
HP29577OtherMNHEALTH PARTNERS
ON456GROtherMNBCBS
22-02780OtherMNMEDICA (VILLAGE CLINIC)
965400656001OtherMNPREFERRED ONE
HP27080OtherMNHEALTH PARTNERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist LD1732000 (Minnesota)Primary
152W00000XOptometrist LD2695000 (Minnesota)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica acts as a billing entity for following providers:
Provider NameBrian D Grudem
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194717298
PECOS PAC ID: 6901893460
Enrollment ID: I20040429000067
Provider NameKevin D Lucas
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407848427
PECOS PAC ID: 0941297139
Enrollment ID: I20040429000107
Provider NameBrad E Schwantke
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700115409
PECOS PAC ID: 7618135799
Enrollment ID: I20120221000255

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica
4720 White Bear Pkwy,
White Bear Lake, MN 55110-3336

Ph: (651) 426-2747		Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica
4720 White Bear Pkwy,
White Bear Lake, MN 55110-3336

Ph: (651) 426-2747

Reviews and Comments


Optometrist in White Bear Lake, MN

Jaclyn Elizabeth Doffin, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4750 Washington Sq, White Bear Lake, MN 55110
Phone: 651-429-3379    Fax: 651-429-8681
Dr. Paul Christopher Onderick, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 3827 White Bear Ave N, White Bear Lake, MN 55110
Phone: 651-426-1051    
Dr. Brian Dwight Grudem, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4720 White Bear Pkwy, White Bear Lake, MN 55110
Phone: 651-426-2747    Fax: 651-426-9838
White Bear Eye Clinic And Optical
Optometrist
Medicare: Medicare Enrolled
Practice Location: 4750 Washington Sq, White Bear Lake, MN 55110
Phone: 651-429-3379    Fax: 651-429-8681
Dr. Kevin David Lucas, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4720 White Bear Pkwy, White Bear Lake, MN 55110
Phone: 651-426-2747    Fax: 651-426-9838
Elizabeth A Roberts, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 4750 Washington Sq, White Bear Lake, MN 55110
Phone: 651-429-3379    Fax: 651-429-8681
Allyson K Caspers, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4750 Washington Sq, White Bear Lake, MN 55110
Phone: 651-429-3379    Fax: 651-429-8681

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.