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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BIRCH LAKE VISION GROUP, LLC.

Active Organization

BIRCH LAKE VISION GROUP, LLC. is a Optometrist organization located in WHITE BEAR LAKE, Minnesota. NPI 1609921899 is currently active in the NPPES registry. Verify at CMS.

Optometrist · WHITE BEAR LAKE, MN

Registration Details

NPI Number
1609921899
Provider Type
Organization
NPI Issued
Jan 25, 2007 (19.582794873779 yrs)
Last Updated
Dec 2, 2009
Licenses
LD2695000 (MN)
LD1732000 (MN)

Practice Information

Address
4720 WHITE BEAR PKWY
WHITE BEAR LAKE, MN, 551103336
Browse MN providers · Browse ZIP 55110
Phone
6514262747
Fax
6514269838
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Organizations in WHITE BEAR LAKE, MN

Name NPI
DOFFIN FAMILY EYE CARE PA 1346291630
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.