| 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 | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| 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 |
| 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 | |
Forest Lake Optometric Center 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 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1267 W Broadway Ave Ste 300, Forest Lake, MN 55025 Phone: 920-429-2211 | |
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 |