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Blaine Eye Clinic Optometrists, P.A.

Durable Medical Equipment & Medical Supplies in Blaine, MN · enumerated 2007 · authorized official Lynn Sulerud, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043363401

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Registry record

Entity type Organization (Type 2)
Legal business name Blaine Eye Clinic Optometrists, P.A.
Other name <Unavail>
Practice address 12170 Aberdeen St Ne, Blaine, MN, 55449
Phone (763) 757-7000
Fax (763) 757-3328
Enumeration date Jan 19, 2007
Last updated in NPPES Feb 15, 2011

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Lynn Sulerud
Title Owner
Phone (763) 757-7000

Other identifiers

Identifier Type State Issuer
DB3402 Other MN RAILROAD MEDICARE
221526800 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-02-15. Verify at npiregistry.cms.hhs.gov.
Where is Blaine Eye Clinic Optometrists, P.A. located?
The practice location on file with NPPES is in Blaine, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-15.