Optometrist
BIRCH LAKE VISION GROUP, LLC.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1609921899 · enumerated 2007-01-25 · record updated 2009-12-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. BRIAN GRUDEM O.D., CFO · (651) 426-2747
Other names: BIRCH LAKE EYE CLINIC, OAK TREE OPTICAL, VILLAGE EYE CLINIC AND OPTICA
Addresses and phones
- Mailing address 4720 WHITE BEAR PKWY, WHITE BEAR LAKE, MN, 55110-3336 (651) 426-2747 Fax (651) 426-9838 Google Maps Apple Maps OpenStreetMap
- Practice location 4720 WHITE BEAR PKWY, WHITE BEAR LAKE, MN, 55110-3336 (651) 426-2747 Fax (651) 426-9838 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · License LD2695000 MN
- Optometrist 152W00000X · Primary · License LD1732000 MN
In this directory
Locations and evidence
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Practice location
WHITE BEAR LAKE, MN, 551103336
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.