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DR. ROY WILLIAM BACKUS O.D.
NPI 1003922030
Optometrist in Forest Lake, MN

Active since August 22, 2006
200 12TH ST SW, FOREST LAKE, MN 55025(651) 464-9767(651) 464-9062 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Roy William Backus O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROY WILLIAM BACKUS O.D. (NPI 1003922030) is an individual optometrist in Forest Lake, Minnesota, licensed in Minnesota (2520) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1003922030
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROY WILLIAM BACKUSCredential: O.D.
Location Address200 12TH ST SWForest Lake, MN 55025-1482
Mailing Address38050 Jeffery AveNorth Branch, MN 55056-5908 · (651) 237-0330
Phone(651) 464-9767
Fax(651) 464-9062
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003922030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 2520
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
200 12TH ST SW, Forest Lake, MN 55025
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Other Identifiers 12

Other212298MN · Bcbs Opti Choice #
Other410042867MN · Railroad Provider #
Other12060MN · Spectera
Other152144MN · Cole Vision
Medicare ID-Type Unspecified410000759MN
Other6C258BAMN · Bcbs
Other22-14902MN · Medica
Medicaid4100006627MN
Other71-0415188MN · Superior Vision
Medicare UPINU58325MN
Other48705MN · Davis Vision
Other489437500MN · Mn Health Care Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAL-MART STORES, INC.
Eyewear Supplier
200 12TH ST SW
FOREST LAKE, MN 55025
Washington County (651) 464-9740
LAURA MARIE OLSON BS
Pharmacist
200 12TH ST SW
FOREST LAKE, MN 55025
Washington County (651) 464-9742
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
200 12TH ST SW
FOREST LAKE, MN 55025
Washington County (651) 464-9742
KELLY J MARR PHARMD
Pharmacist
200 12TH ST SW
FOREST LAKE, MN 55025
Washington County (651) 464-9742
DANIEL GRUETZMAN PHARMD
Pharmacist
200 12TH ST SW
FOREST LAKE, MN 55025
Washington County (651) 464-9742
DR RICHARD D BRUESCH, PA
Optometrist
200 12TH ST SW
FOREST LAKE, MN 55025
Washington County (651) 464-9767
RICHARD DAVID BRUESCH OD
Optometrist
200 12TH ST SW
FOREST LAKE, MN 55025
Washington County (651) 464-9767
DR. ASHLEY LOUISE AUGUSTINE PHARMD
Pharmacist
200 12TH ST SW
FOREST LAKE, MN 55025
Washington County (651) 464-9742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roy Backus's NPI number?

The NPI number for Roy Backus is 1003922030. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Roy Backus located?

Roy Backus practices at 200 12th St SW, Forest Lake, MN 55025. The listed phone number is (651) 464-9767.

What is Roy Backus's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Roy Backus accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Roy Backus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roy Backus was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.