Dr Richard D Bruesch, Pa in Forest Lake - Optometrist
Dr Richard D Bruesch, Pa - NPI 1912115999
Dr Richard D Bruesch, Pa is a Optometrist in Forest Lake, Minnesota. Dr Richard D Bruesch, Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Dr Richard D Bruesch, Pa is 1912115999. The last update date is 2012-11-19.
Dr Richard D Bruesch, Pa's current location address is 200 12th St Sw, Forest Lake, Minnesota. You can contact this provider via phone number 6514649767 and fax number 6514649062. The mailing address for Dr Richard D Bruesch, Pa is 200 12th St Sw, Forest Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr Richard D Bruesch, Pa |
|---|---|
| Address | 200 12th St Sw, Forest Lake, Minnesota |
| Phone Number | 6514649767 |
| Fax Number | 6514649062 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Bruesch D Richard |
| Credentials | OD |
| Telephone Number | 6514649767 |
NPI Number Detail
| NPI Number | 1912115999 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2012-11-19 |
Provider Mailing Address Detail
| Address | 200 12th St Sw |
|---|---|
| City | Forest Lake |
| State | Minnesota (MN) |
| Post Code | 550251482 |
| Phone Number | 6514649767 |
| Fax Number | 6514649062 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21000260 | MN | MEDICA | |
| 2201835 | MN | MEDICA | |
| 5C945BR | MN | BCBS OF MN | |
| 5C946BR | MN | BCBS OF MN | |
| 167933 | MN | UCARE | |
| 412481029770 | MN | PREFERREDONE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dr Richard D Bruesch, Pa by the Centers for Medicare & Medicaid Services?
The Dr Richard D Bruesch, Pa has been issued the NPI (National Provider Identifier) 1912115999, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dr Richard D Bruesch, Pa located?
The Dr Richard D Bruesch, Pa is located at 200 12Th St Sw, Forest Lake, MN 550251482.
What is Dr Richard D Bruesch, Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dr Richard D Bruesch, Pa is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912115999 to Dr Richard D Bruesch, Pa?
The Dr Richard D Bruesch, Pa received its 1912115999 assignment from the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the information related to Dr Richard D Bruesch, Pa most recently updated or refreshed?
The details pertaining to the Dr Richard D Bruesch, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-19.
NPI Number: 1558367185
Address: 245 W Race St, Somerset, PA
NPI Number: 1588663769
Address: 400 W Mineral King Ave, Visalia, CA