Individual
DR. ROY WILLIAM BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 12TH ST SW, FOREST LAKE, MN 55025-1482
(651) 464-9767
(651) 464-9062
Mailing address
38050 JEFFERY AVE, NORTH BRANCH, MN 55056-5908
(651) 237-0330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12060
SPECTERA
MN
01
—
152144
COLE VISION
MN
01
—
212298
BCBS OPTI CHOICE #
MN
01
—
22-14902
MEDICA
MN
05
—
4100006627
—
MN
01
—
410042867
RAILROAD PROVIDER #
MN
01
—
48705
DAVIS VISION
MN
01
—
489437500
MN HEALTH CARE PROVIDER #
MN
01
—
6C258BA
BCBS
MN
01
—
71-0415188
SUPERIOR VISION
MN
Enumeration date
08/22/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us