Birch Lake Vision Group, LLC.
NPI 1609921899 · Optometrist · White Bear Lake, MN
Birch Lake Vision Group, LLC. is a Optometrist organization in White Bear Lake, MN (NPI 1609921899).
Provider details
- NPI number
- 1609921899
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Brian Grudem, Cfo(651) 426-2747
- License
- LD2695000 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic and Optica
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2009-12-02
Frequently asked questions
- What is Birch Lake Vision Group, LLC.'s NPI number?
- Birch Lake Vision Group, LLC.'s National Provider Identifier (NPI) is 1609921899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Birch Lake Vision Group, LLC.?
- Birch Lake Vision Group, LLC. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Birch Lake Vision Group, LLC. located?
- Birch Lake Vision Group, LLC.'s practice location on file with NPPES is 4720 White Bear Pkwy, White Bear Lake, MN 55110-3336.
- What is Birch Lake Vision Group, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Birch Lake Vision Group, LLC. is (651) 426-2747.
- Who is the authorized official for Birch Lake Vision Group, LLC.?
- The authorized official listed on Birch Lake Vision Group, LLC.'s NPPES record is Brian Grudem, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Birch Lake Vision Group, LLC.'s NPI active?
- Yes — Birch Lake Vision Group, LLC.'s NPI (1609921899) is active in the NPPES registry as of the last update on 2009-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.