BIRCH LAKE EYE CLINIC, OAK TREE OPTICAL, VILLAGE EYE CLINIC AND OPTICA
NPI 1609921899
Optometrist in White Bear Lake, MN

Q: What is Birch Lake Vision Group, LLC.'s NPI number?

The NPI number for Birch Lake Vision Group, LLC. is 1609921899. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica.

Q: What is Birch Lake Vision Group, LLC.'s specialty?

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

Active since January 25, 2007

4720 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110(651) 426-2747(651) 426-9838 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica NPPES

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

BIRCH LAKE EYE CLINIC, OAK TREE OPTICAL, VILLAGE EYE CLINIC AND OPTICA (NPI 1609921899) is a healthcare organization registered as an optometrist in White Bear Lake, Minnesota and active in the NPI registry since January 2007. The organization lists Brian Dwight Grudem, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609921899

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBIRCH LAKE VISION GROUP, LLC.

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

Organization SubpartNo

Authorized OfficialBrian Dwight GrudemCfo · (651) 426-2747

Enumeration DateJanuary 25, 2007

Last NPPES UpdateDecember 2, 2009

✔ NPI 1609921899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MN · LD1732000✔ Licensed in MN · LD2695000

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

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Other Names 1

Doing Business AsBirch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica

Other Identifiers 17

OtherP00116310MN · Medicare Railroad Retirem

OtherHP29577MN · Health Partners

Other22-02780MN · Medica (village Clinic)

Medicare UPINU74340MN

Medicare PIN410002139MN

Medicare UPINT39581MN

OtherON456GRMN · Bcbs

Other22-02779MN · Medica (village)

Other965400656001MN · Preferred One

Other965401019270MN · Preferred One

Other22-01733MN · Medica (birch Lake)

Other244ROLUMN · Blue Cross Blue Shield

Medicare PIN410002140MN

OtherHP27080MN · Health Partners

Medicare NSC5158010001

Other22-02690MN · Medica (birch Lake)

OtherP00124841MN · Medicare Railroad Retirem

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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. BRIAN DWIGHT GRUDEM O.D.

Optometrist

4720 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110

Ramsey County (651) 426-2747

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

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 Birch Lake Vision Group, LLC.'s NPI number?

The NPI number for Birch Lake Vision Group, LLC. is 1609921899. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica.

Where is Birch Lake Vision Group, LLC. located?

Birch Lake Vision Group, LLC. is located at 4720 White Bear Pkwy, White Bear Lake, MN 55110. The listed phone number is (651) 426-2747.

What is Birch Lake Vision Group, LLC.'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 Birch Lake Vision Group, LLC. was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.