DR. Roy William Backus, O.D.

NPI #1003922030 in Forest Lake, Minnesota

Provider Information

NPI Number: 1003922030
Entity Type: Individual
Name: DR. Roy William Backus, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 200 12TH ST SW
City: Forest Lake
State: Minnesota
ZIP Code: 55025-1482
Phone: (651) 464-9767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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