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:
Map and Directions
Authorized official contact:
Name: Bruesch, Richard D Doctor of Optometry (OD)
Phone: (651) 464-9767

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
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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