LYNN ALAN SULERUD O.D.
NPI 1013060409
Optometrist in Blaine, MN

Q: What is Lynn Sulerud's NPI number?

The NPI number for Lynn Sulerud is 1013060409. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Q: What is Lynn Sulerud'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 Lynn Sulerud was last updated on September 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 19, 2007

12170 ABERDEEN ST NE, BLAINE, MN 55449(763) 757-7000(763) 757-3328 Get Directions Write a Review

NPPES record last updated: September 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lynn Alan Sulerud O.d. NPPES

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

LYNN ALAN SULERUD O.D. (NPI 1013060409) is an individual optometrist in Blaine, Minnesota, licensed in Minnesota (1698) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1013060409

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameLYNN ALAN SULERUDCredential: O.D.

Location Address12170 ABERDEEN ST NEBlaine, MN 55449-4716

Mailing Address12170 Aberdeen St NeBlaine, MN 55449-4716 · (763) 757-7000 · Fax (763) 757-3328

Phone(763) 757-7000

Fax(763) 757-3328

Sole ProprietorNo

Enumeration DateJanuary 19, 2007

Last NPPES UpdateSeptember 27, 2010

✔ NPI 1013060409 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 · 1698

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.

12170 ABERDEEN ST NE, Blaine, MN 55449

Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified410000202MN

Medicare UPINT66186MN

Medicare NSC1043363401MN

Medicaid844523100MN

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.

MEGAN MARIE SIS OD, MS, FAAO

Optometrist

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 757-7000

NORTHLAND HEARING CENTER INC

Audiologist-Hearing Aid Fitter

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 795-6047

BLAINE EYE CLINIC OPTOMETRISTS, P.A.

Durable Medical Equipment & Medical Supplies

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 757-7000

GEORGIANN KAE JENSEN O.D.

Optometrist

12170 ABERDEEN ST NE
MINNEAPOLIS, MN 55449

Anoka County (763) 757-7000

MRS. BREANN MARIE FORLITI O.D.

Optometrist

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 757-7000

LANDON MICHAEL KUDRNA O.D.

Optometrist

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (637) 577-0007

DR. ASHLEY ANN BERENS OD

Optometrist

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 757-7000

DR. ROSAMOND HANNAH TEDESCO O.D.

Optometrist

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 757-7000

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 Lynn Sulerud's NPI number?

The NPI number for Lynn Sulerud is 1013060409. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Lynn Sulerud located?

Lynn Sulerud practices at 12170 Aberdeen St NE, Blaine, MN 55449. The listed phone number is (763) 757-7000.

What is Lynn Sulerud's specialty?

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

When was this NPI record last updated?

The NPPES record for Lynn Sulerud was last updated on September 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.