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Dr. Brian Dwight Grudem, OD
Optometrist in White Bear Lake, Minnesota
NPI 1194717298

Brian Dwight Grudem is a Optometrist based in White Bear Lake, MN. Brian Dwight Grudem practices in White Bear Lake, MN and has the professional credentials of OD. The NPI Number for Brian Dwight Grudem is 1194717298 and holds a License No. LD1732000 (Minnesota).

The current practice location address for Brian Dwight Grudem is 4720 White Bear Pkwy, White Bear Lake, MN and can be reached out via phone at 651-426-2747 and via fax at 651-426-9838.

Location: 4720 White Bear Pkwy, White Bear Lake, MN, 55110-3336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194717298
Provider Name
Brian Dwight Grudem
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
4720 White Bear Pkwy, White Bear Lake, MN, 55110-3336
Phone Number
651-426-2747
Fax Number
651-426-9838
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00124841 01 MN MEDICARE RAILROAD RETIREM
965400656001 01 MN PREFERRED ONE
0N456GR 01 MN BLUE CROSS BLUE SHIELD
HP29577 01 MN HEALTH PARTNERS
22-02690 01 MN MEDICA
22-02779 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
4720 White Bear Pkwy
City
White Bear Lake
State
Minnesota
Zip
55110-3336
Phone Number
651-426-2747
Fax Number
651-426-9838
person
Provider Business Mailing Address Details
Address
4720 White Bear Pkwy
City
White Bear Lake
State
Minnesota
Zip
55110-3336
Phone Number
651-426-2747
Fax Number
651-426-9838
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
LD1732000 (Minnesota)
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.
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