DR. BRIAN DWIGHT GRUDEM O.D. NPI 1194717298

NPI Details

DR. Brian Dwight Grudem, O.D. is an optometrist in White Bear Lake, MN with 47 years of experience. The provider is 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. DR. Brian Dwight Grudem, O.D. NPI is 1194717298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year:1979

The provider's business location address is:

4720 WHITE BEAR PKWY
WHITE BEAR LAKE, MN
ZIP 55110-336
Phone: (651) 426-2747
Fax: (651) 426-9838

The NPI 1194717298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient complete exam of visual system (HCPCS:92014)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Imaging of optic nerve (HCPCS:92133)
• Exam of visual field with extended testing (HCPCS:92083)

The enumeration date for this NPI number is 8/16/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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