RICHARD DAVID BRUESCH


Address: 200 12th St Sw, Forest Lake, MN 55025-1482
Phone: 6514649767

RICHARD DAVID BRUESCH (NPI# 1922119486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922119486
Entity Type Individual
Full Name RICHARD DAVID BRUESCH
Credential OD
Practice Address 200 12th St Sw
Forest Lake
MN 55025-1482
Mailing Address 13941 Redwood St Nw
Andover
MN 55304-4135
Practice Telephone 6514649767
Mailing Telephone 6514649767
Enumeration Date 2006-08-31
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 2622 MN Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BLOCK VISION 922683 01
MN MEDICA DISP 2100260 01
MN CLARITY VISION BR746478 01
MN MEDICA 2201835 01
MN DAVIS VISION 49536 01
MN BC/BS IND # 5C946BR 01
MN COLE VISION 152233 01
MN SPECTERA 16824 01
MN BC/BS GRP # 5C945BR 01
MN PREFERREDONE 412481029770 01

Office Location

Street Address 200 12TH ST SW
City FOREST LAKE
State MN
Zip Code 55025-1482

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801813290 Walmart Inc. Pharmacy 200 12th St Sw, Forest Lake, MN 55025-1482 2006-07-16
1952909905 Ashley Louise Augustine Pharmacist 200 12th St Sw, Forest Lake, MN 55025-1482 2020-10-13
1649878612 Laura Marie Olson Pharmacist 200 12th St Sw, Forest Lake, MN 55025-1482 2020-10-13
1831749530 Kelly J Marr Pharmacist 200 12th St Sw, Forest Lake, MN 55025-1482 2019-09-13
1912115999 Dr Richard D Bruesch, Pa Optometrist 200 12th St Sw, Forest Lake, MN 55025-1482 2007-05-21
1255412243 Wal-mart Stores, Inc. Technician/Technologist 200 12th St Sw, Forest Lake, MN 55025-1482 2006-10-18
1003922030 Roy William Backus Optometrist 200 12th St Sw, Forest Lake, MN 55025-1482 2006-08-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043846173 Persistence Physical Therapy LLC Clinic/Center 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 2020-03-20
1255973319 Connie Rettig Technician 908 North Shore Drive, Forest Lake, MN 55025 2019-10-10
1003394479 Malissa Ann Costanzo Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 844 8th Ave Se, Forest Lake, MN 55025 2018-07-30
1669754735 Brent Alan Millard Pharmacist 1207 West Broadway Ave, Forest Lake, MN 55025 2011-09-15
1982842167 Lakes Center for Youth and Families Community/Behavioral Health 20 N Lake Street, Suite 103, Forest Lake, MN 55025 2009-01-27
1487843355 Paul Luke Mladnick Marriage & Family Therapist 1068 So Lake St, #109, Forest Lake, MN 55025 2007-10-17
1740477678 Rita Lynn Scanlan Occupational Therapist 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 2007-09-25
1114053113 Senior Care Forest Lake, LLC Skilled Nursing Facility 604 N.e. First Street, Forest Lake, MN 55025 2007-02-26
1073672101 Catharine B Ruther Dentist 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 2006-12-06
1407914849 Ervin George Savord Dentist 255 Highway 97, Suite 1b, Forest Lake, MN 55025 2006-12-05
Find all providers in zip 55025

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy 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.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295829752 Gregory Donald Jones Optometrist Walmart Vision Ctr #2274, 200 Ksw 12th St, Forest Lake, MN 55025-1609 2006-10-02
1437254455 Scott R Telander Optometrist 20 Lake St N, Suite 101, Forest Lake, MN 55025-2523 2006-09-14
1912115999 Dr Richard D Bruesch, Pa Optometrist 200 12th St Sw, Forest Lake, MN 55025-1482 2007-05-21
1982735668 Kari Lynn Eliason Optometrist 356 12th St Sw, Forest Lake, MN 55025-1749 2007-03-07
1669535308 Sean Philip Bell Optometrist 356 12th St Sw, Forest Lake, MN 55025-1749 2006-12-17
1053473835 Forest Lake Optometric Center Optometrist 20 Lake St N, Forest Lake, MN 55025-2523 2006-12-15
1558423731 Kevin Lee Bahr Optometrist 20 Lake St N, #104, Forest Lake, MN 55025-2523 2006-12-14
1003922030 Roy William Backus Optometrist 200 12th St Sw, Forest Lake, MN 55025-1482 2006-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023615069 Eagan Eye Clinic LLC Optometrist 12390 Sherburne Ave, Becker, MN 55308-9147 2020-10-02
1750998100 Infinity Eye Care Optometrist 1275 Ramsey St Ste 700, Shakopee, MN 55379-3131 2020-09-29
1831700798 Muychi Timothy Vang Optometrist 11217 Commerce Dr N, Champlin, MN 55316-3122 2020-08-13
1023628591 Rahul Farmah Optometrist 680 Hwy 10 Ne, Blaine, MN 55434 2020-08-08
1154947455 Lucas William Schmidt Optometrist 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 2020-06-23
1699399592 Nicole Rene Schmiedt Optometrist 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 2020-06-05
1700409885 Russell N Osnes Od & Associates Pa Optometrist 1340 Duckwood Dr Ste 14, Eagan, MN 55123-2324 2020-05-22
1225657067 Viginia Ho Optometrist 680 County Road 10 Ne, Blaine, MN 55434-2329 2020-04-12
1992331359 Megan Kaye Horter Optometrist 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 2020-03-18
1639704232 Barton Eye Care LLC Optometrist 2306 S Broadway St Ste 12, Alexandria, MN 56308-1883 2020-03-04
Find all providers with the same taxonomy

Competitor

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City FOREST LAKE
Zip Code 55025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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