1. Home
  2. Directory
  3. Minnesota
  4. White Bear Lake
  5. Optometrist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRIAN DWIGHT GRUDEM O.D.
NPI 1194717298
Optometrist in White Bear Lake, MN

Active since August 16, 2005PECOS Enrolled
4720 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110(651) 426-2747(651) 426-9838 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian Dwight Grudem O.d. NPPES

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

DR. BRIAN DWIGHT GRUDEM O.D. (NPI 1194717298) is an individual optometrist in White Bear Lake, Minnesota, licensed in Minnesota (LD1732000) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1979).

NPPES Registry Identity

NPI1194717298
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRIAN DWIGHT GRUDEMCredential: O.D.
Location Address4720 WHITE BEAR PKWYWhite Bear Lake, MN 55110-3336
Mailing Address4720 White Bear PkwyWhite Bear Lake, MN 55110-3336 · (651) 426-2747 · Fax (651) 426-9838
Phone(651) 426-2747
Fax(651) 426-9838
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1979
Enumeration DateAugust 16, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1194717298 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 · LD1732000
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.
4720 WHITE BEAR PKWY, White Bear Lake, MN 55110
Open in Google Maps ↗

Other Identifiers 6

OtherP00124841MN · Medicare Railroad Retirem
Other965400656001MN · Preferred One
Other0N456GRMN · Blue Cross Blue Shield
OtherHP29577MN · Health Partners
Other22-02690MN · Medica
Other22-02779MN · Medica

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Dwight Grudem O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901893460
PECOS Enrollment IDI20040429000067
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
94 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services23 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
13 services11 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

FRANKLIN ALEXANDER II
Optometrist
4720 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 426-2747
DR. ELIZABETH ALEXANDRA TROSSEN OD
Optometrist
4720 WHITE BEAR PKWY
SAINT PAUL, MN 55110
Ramsey County (651) 288-0155
DR. KEVIN DAVID LUCAS O.D.
Optometrist
4720 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 426-2747
DR. DEANNA LYNN LUNDELL OD
Optometrist
4720 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 426-2747
BIRCH LAKE VISION GROUP, LLC.
Optometrist
4720 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 426-2747
DR. BRAD ELLIOT SCHWANTKE O.D.
Optometrist
4720 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 426-2747

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 Brian Grudem's NPI number?

The NPI number for Brian Grudem is 1194717298. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Brian Grudem located?

Brian Grudem practices at 4720 White Bear Pkwy, White Bear Lake, MN 55110. The listed phone number is (651) 426-2747.

What is Brian Grudem's specialty?

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

Is Brian Grudem enrolled in Medicare?

Yes. Brian Grudem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Grudem accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Brian Grudem 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 Brian Grudem was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.