Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Birch Lake Vision Group, LLC

Organization Optometrist · NPI 1609921899

Birch Lake Vision Group, LLC is an Optometrist in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4720 White Bear Pkwy
White Bear Lake, MN 55110-3336
Phone: (651) 426-2747
Fax: (651) 426-9838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence LD1732000 (MN)
Optometrist Taxonomy 152W00000X · Licence LD2695000 (MN)

Record details

NPI number1609921899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Grudem — Cfo · (651) 426-2747
Other names Birch Lake Eye Clinic, Oak Tree Optical, Village Eye Clinic And Optica
NPI enumeratedJanuary 25, 2007
Last updated in NPPESDecember 2, 2009
Mailing address4720 White Bear Pkwy, White Bear Lake, MN 55110-3336

Other providers in White Bear Lake