RICHARD DAVID BRUESCH OD
NPI 1922119486
Optometrist in Forest Lake, MN

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
200 12TH ST SW, FOREST LAKE, MN 55025(651) 464-9767 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard David Bruesch Od NPPES

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

RICHARD DAVID BRUESCH OD (NPI 1922119486) is an individual optometrist in Forest Lake, Minnesota, licensed in Minnesota (2622) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1922119486
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRICHARD DAVID BRUESCHCredential: OD
Location Address200 12TH ST SWForest Lake, MN 55025-1482
Mailing Address13941 Redwood St NwAndover, MN 55304-4135 · (651) 464-9767
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1922119486 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 · 2622
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

Other Identifiers 11

Other412481029770MN · Preferredone
Other152233MN · Cole Vision
Other16824MN · Spectera
OtherBR746478MN · Clarity Vision
Other2201835MN · Medica
Other5C945BRMN · Bc/bs Grp #
Other922683MN · Block Vision
Other5C946BRMN · Bc/bs Ind #
Medicare UPINU80244MN
Other2100260MN · Medica Disp
Other49536MN · Davis Vision

Accepted 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

Richard David Bruesch Od 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 ID8527150911
PECOS Enrollment IDI20070815000052
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.
57 services57 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.
25 services21 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
18 services18 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55025 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 8

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

Optometrist
200 12TH ST SW
FOREST LAKE, MN 55025
Eyewear Supplier
200 12TH ST SW
FOREST LAKE, MN 55025
Pharmacist
200 12TH ST SW
FOREST LAKE, MN 55025
Pharmacy (Community/Retail Pharmacy)
200 12TH ST SW
FOREST LAKE, MN 55025
Pharmacist
200 12TH ST SW
FOREST LAKE, MN 55025
Pharmacist
200 12TH ST SW
FOREST LAKE, MN 55025
Optometrist
200 12TH ST SW
FOREST LAKE, MN 55025
Pharmacist
200 12TH ST SW
FOREST LAKE, MN 55025

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 Richard Bruesch's NPI number?

The NPI number for Richard Bruesch is 1922119486. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Richard Bruesch located?

Richard Bruesch practices at 200 12th St SW, Forest Lake, MN 55025. The listed phone number is (651) 464-9767.

What is Richard Bruesch's specialty?

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

Is Richard Bruesch enrolled in Medicare?

Yes. Richard Bruesch 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 Richard Bruesch accept?

Health plans from HealthPartners, Medica and Providence Health Plan list Richard Bruesch 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 Richard Bruesch was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.