Dr Richard D Bruesch, Pa
LBN: Dr Richard D Bruesch, Pa
Dr Richard D Bruesch, Pa is an health care organization with primary practice located at 200 12Th St Sw , Forest Lake MN 55025-1482. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Dr Richard D Bruesch, Pa can be contacted via phone (651) 464-9767, or through Bruesch, Richard D via phone (651) 464-9767.
Contact Information
Primary practice address
200 12Th St Sw
Forest Lake MN 55025-1482
Phone: (651) 464-9767
Fax: (651) 464-9062
Website:
Authorized official contact:
Name: Bruesch, Richard D Doctor of Optometry (OD)
Phone: (651) 464-9767
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MN2622 | Minnesota |
Profile Details
| NPI number | 1912115999 |
|---|---|
| LBN Legal business name | Dr Richard D Bruesch, Pa |
| DBA Doing business as | |
| Authorized official | Bruesch, Richard D Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Nov 19th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912115999 | NPPES |
| Minnesota | Other | 21000260 | MEDICA |
| Minnesota | Other | 2201835 | MEDICA |
| Minnesota | Other | 5C945BR | MEDICA |
| Minnesota | Other | 5C946BR | MEDICA |
| Minnesota | Other | 167933 | MEDICA |
| Minnesota | Other | 412481029770 | MEDICA |
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