Lynn Alan Sulerud is a Optometrist in Blaine, Minnesota. Lynn Alan Sulerud practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lynn Alan Sulerud is 1013060409. The last update date is 2010-09-27.
Lynn Alan Sulerud's current location address is 12170 Aberdeen St Ne, Blaine, Minnesota. You can contact this provider via phone number 7637577000 and fax number 7637573328. The mailing address for Lynn Alan Sulerud is 12170 Aberdeen St Ne, Blaine, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynn Alan Sulerud |
|---|---|
| Address | 12170 Aberdeen St Ne, Blaine, Minnesota |
| Phone Number | 7637577000 |
| Fax Number | 7637573328 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1013060409 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2010-09-27 |
Provider Mailing Address Detail
| Address | 12170 Aberdeen St Ne |
|---|---|
| City | Blaine |
| State | Minnesota (MN) |
| Post Code | 554494716 |
| Phone Number | 7637577000 |
| Fax Number | 7637573328 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1698 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 844523100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lynn Alan Sulerud by the Centers for Medicare & Medicaid Services?
The Lynn Alan Sulerud has been issued the NPI (National Provider Identifier) 1013060409, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lynn Alan Sulerud's physical address?
The Lynn Alan Sulerud is physically located at 12170 Aberdeen St Ne, in the city of Blaine, MN, with the postal code 554494716.
What is Lynn Alan Sulerud's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lynn Alan Sulerud's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013060409 to Lynn Alan Sulerud?
The Centers for Medicare & Medicaid Services originally issued the 1013060409 to Lynn Alan Sulerud on 2007-01-19.
As of what date were the Lynn Alan Sulerud's details last updated?
The information pertaining to the Lynn Alan Sulerud, including its address, specialty, and other details, was most recently updated on 2010-09-27.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC