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

Q: 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.

Q: What is Roy Backus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roy Backus was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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.

RICHARD DAVID BRUESCH OD

Optometrist