| 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. | 
|---|---|
| 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 Optometrists, P.a. 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  |