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

Suzette Skavlem, OD

Individual provider Optometrist · NPI 1790267987

Suzette Skavlem, OD is an Optometry in St Louis Park, Minnesota. Graduated from Southern California College of Optometry in 2018, 8 years ago. Practices with Roman Gerber LLC, a 3-clinician group. Licensed in Minnesota.

Years since qualifying
8
Trained at
Southern California College of Optometry
Licensed in
MN
In the registry since
2018
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

3840 Grand Way
St Louis Park, MN 55416-4788
Phone: (952) 848-2020
Fax: (952) 922-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3770 (MN)

Record details

NPI number1790267987
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 4, 2018
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Roman Gerber Llc — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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