Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Birch Lake Vision Group, LLC.

Optometrist in White Bear Lake, MN · enumerated 2007 · authorized official Brian Grudem, Cfo.

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

National Provider Identifier

1609921899

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Registry record

Entity type Organization (Type 2)

Legal business name Birch Lake Vision Group, LLC.

Other name <Unavail>

Practice address 4720 White Bear Pkwy, White Bear Lake, MN, 55110

Phone (651) 426-2747

Fax (651) 426-9838

Enumeration date Jan 25, 2007

Last updated in NPPES Dec 2, 2009

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License LD1732000 (MN) Primary

152W00000X Optometrist Eye and Vision Services Providers · License LD2695000 (MN) Secondary

Authorized official

Name Brian Grudem

Title Cfo

Phone (651) 426-2747

Other identifiers

Identifier	Type	State	Issuer
22-01733	Other	MN	MEDICA (BIRCH LAKE)
244ROLU	Other	MN	BLUE CROSS BLUE SHIELD
P00116310	Other	MN	MEDICARE RAILROAD RETIREM
P00124841	Other	MN	MEDICARE RAILROAD RETIREM
22-02690	Other	MN	MEDICA (BIRCH LAKE)
965401019270	Other	MN	PREFERRED ONE
22-02779	Other	MN	MEDICA (VILLAGE)
HP29577	Other	MN	HEALTH PARTNERS
ON456GR	Other	MN	BCBS
22-02780	Other	MN	MEDICA (VILLAGE CLINIC)
965400656001	Other	MN	PREFERRED ONE
HP27080	Other	MN	HEALTH PARTNERS

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 2009-12-02. Verify at npiregistry.cms.hhs.gov.

Where is Birch Lake Vision Group, LLC. located?

The practice location on file with NPPES is in White Bear Lake, MN.

Providers at this address

Browse all →

Brian Grudem Optometrist · White Bear Lake, MN NPI 1194717298 Kevin Lucas Optometrist · White Bear Lake, MN NPI 1407848427 Brad Schwantke Optometrist · White Bear Lake, MN NPI 1700115409 Deanna Lundell Optometrist · White Bear Lake, MN NPI 1598324014 Franklin Alexander Optometrist · White Bear Lake, MN NPI 1134955933 Elizabeth Trossen Optometrist · Saint Paul, MN NPI 1154257780

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-02.