Broecker Eye & Optical | |
2356 University Ave W, Suite 260, Saint Paul, MN 55114-1853 | |
(651) 645-8124 | |
(651) 645-8125 |
Full Name | Broecker Eye & Optical |
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Type | Facility |
Speciality | Optometrist |
Location | 2356 University Ave W, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114962529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2108 (Minnesota) | Primary |
Provider Name | Stacey T Broecker |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922053040 PECOS PAC ID: 7416915715 Enrollment ID: I20050106000059 |
Mailing Address | Practice Location Address |
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Broecker Eye & Optical 2356 University Ave W, Suite 260, Saint Paul, MN 55114-1853 Ph: (651) 645-8124 | Broecker Eye & Optical 2356 University Ave W, Suite 260, Saint Paul, MN 55114-1853 Ph: (651) 645-8124 |
Kennedy Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1790 Lexington Ave N, Saint Paul, MN 55113 Phone: 651-488-6771 Fax: 651-488-5576 | |
Maggie Scott, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1360 University Ave W Ste 106, Saint Paul, MN 55104 Phone: 651-251-0317 | |
Dr. Julie M Blenker, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 261 Ruth St N Ste E, Saint Paul, MN 55119 Phone: 651-739-5173 Fax: 651-739-8907 | |
John Heyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-241-7000 | |
Dr. Matthew Thomas Hendricks, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7500 | |
Dr. David Andrew Spande, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 University Ave W, Optical Clinic, Saint Paul, MN 55104 Phone: 651-641-6181 Fax: 651-646-3292 |