Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003922030 Individual Practitioner Male Practitioner

Dr. Roy William Backus , OD

Optometrist • Forest Lake, MN

Professional Overview & Biography Verified Profile Summary

Dr. Roy Backus, OD is a registered healthcare professional specializing in Optometrist in Forest Lake, MN. Practice services are available at 200 12TH ST SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 12th St Sw

Forest Lake, MN 550251482

Telephone 6514649767
Fax 6514649062
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1801813290

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Forest Lake, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Forest Lake, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2520

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4100006627 (MN)
Commercial Insurance / Payer ID Davis Vision
48705 (MN)
Commercial Insurance / Payer ID Bcbs
6C258BA (MN)
Commercial Insurance / Payer ID Cole Vision
152144 (MN)
Commercial Insurance / Payer ID Railroad Provider #
410042867 (MN)
Commercial Insurance / Payer ID Bcbs Opti Choice #
212298 (MN)
Commercial Insurance / Payer ID Spectera
12060 (MN)
Commercial Insurance / Payer ID Mn Health Care Provider #
489437500 (MN)
Commercial Insurance / Payer ID Medica
22-14902 (MN)
Commercial Insurance / Payer ID Superior Vision
71-0415188 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1295829752

Doctor of Optometry

NPI 1922119486

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 200 12TH ST SW, FOREST LAKE, MN 550251482 (Tel: 6514649767)

📍
Updated Business Mailing Address July 08, 2007

Registered at 38050 JEFFERY AVE, NORTH BRANCH, MN 550565908 (Tel: 6512370330)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROY BACKUS, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2520 in MN)

🟢
Initial NPI Registration & Enumeration August 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003922030
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

38050 Jeffery Ave

North Branch, MN 550565908

Phone: 6512370330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.