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

Individual provider Optometrist · NPI 1194717298

Dr. Brian Dwight Grudem, OD is an Optometry in White Bear Lake, Minnesota. Graduated from Pacific University - College of Optometry in 1979, 47 years ago. Practices with Eagan Eye Clinic LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
47
Trained at
Pacific University - College of Optometry
Licensed in
MN
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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

Specialties & licences

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

Record details

NPI number1194717298
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESJuly 13, 2026
Mailing address4720 White Bear Pkwy, White Bear Lake, MN 55110-3336

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1979 (47 years in practice)
Group practice Eagan Eye Clinic Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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