DR RICHARD D BRUESCH, PA
NPI 1912115999
Optometrist in Forest Lake, MN

Q: What is Dr Richard D Bruesch, PA's NPI number?

The NPI number for Dr Richard D Bruesch, PA is 1912115999. It was assigned to this organization in the NPPES registry on May 21, 2007.

Q: What is Dr Richard D Bruesch, PA's specialty?

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

Active since May 21, 2007

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

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr Richard D Bruesch, Pa NPPES

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

DR RICHARD D BRUESCH, PA (NPI 1912115999) is a healthcare organization registered as an optometrist in Forest Lake, Minnesota and active in the NPI registry since May 2007. The organization lists Richard D Bruesch, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1912115999

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDR RICHARD D BRUESCH, PA

Location Address200 12TH ST SWForest Lake, MN 55025-1482

Mailing Address200 12th St SwForest Lake, MN 55025-1482 · (651) 464-9767 · Fax (651) 464-9062

Phone(651) 464-9767

Fax(651) 464-9062

Organization SubpartNo

Authorized OfficialRichard D BrueschOptometrist · (651) 464-9767

Enumeration DateMay 21, 2007

Last NPPES UpdateNovember 19, 2012

✔ NPI 1912115999 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 · MN2622

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 7

Other167933MN · Ucare

Other5C945BRMN · Bcbs Of Mn

Other21000260MN · Medica

Other5C946BRMN · Bcbs Of Mn

Other412481029770MN · Preferredone

Other2201835MN · Medica

Medicare ID-Type Unspecified410001403MN · Medicare

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 SINGLE SPECIALTY GROUP

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.

DR. ROY WILLIAM BACKUS O.D.

Optometrist