Brian Hudson, OD
Individual provider Active NPI Optometrist · Cass Lake, MN
NPI 1811098577 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1811098577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 8501 (CA)
- Practice address
- 425 7TH St NW
Cass Lake, MN 56633-3360 - Phone
- (218) 335-3200
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1719 | WA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1719 | WA | |
| Optometrist | 152W00000X | 8501 | CA | Yes |
Addresses
Primary practice location
425 7TH St NW
Cass Lake, MN 56633-3360
Mailing address
425 7TH St NW
Cass Lake, MN 56633-3360
Phone (218) 335-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 940S7HU | Other | MN | BCBS |
Other providers in Cass Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.