Stacey T. Broecker in Saint Paul - Optometrist
Stacey T. Broecker - NPI 1922053040
Stacey T. Broecker is a Optometrist in Saint Paul, Minnesota. Stacey T. Broecker practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stacey T. Broecker is 1922053040. The last update date is 2018-11-20.
Stacey T. Broecker's current location address is 2356 University Ave W, Saint Paul, Minnesota. You can contact this provider via phone number 6516458124 and fax number 6516458125. The mailing address for Stacey T. Broecker is 2356 University Ave W, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacey T. Broecker |
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Address | 2356 University Ave W, Saint Paul, Minnesota |
Phone Number | 6516458124 |
Fax Number | 6516458125 |
Sole Proprietor | Y |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1922053040 |
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Provider Enumeration Date | 2006-05-24 |
Last Updated Date | 2018-11-20 |
Provider Mailing Address Detail
Address | 2356 University Ave W |
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City | Saint Paul |
State | Minnesota (MN) |
Post Code | 551141897 |
Phone Number | 6516458124 |
Fax Number | 6516458125 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 2108 |
Definition: 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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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808023200 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stacey T. Broecker by the Centers for Medicare & Medicaid Services (CMS)?
The Stacey T. Broecker has been assigned the NPI (National Provider Identifier) 1922053040. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Stacey T. Broecker is geographically located?
The Stacey T. Broecker is physically situated at the following location: 2356 University Ave W, Saint Paul, MN, 551141897.
What is the area of specialization for Stacey T. Broecker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacey T. Broecker is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Stacey T. Broecker receive its 1922053040 assignment from the Centers for Medicare & Medicaid Services?
The Stacey T. Broecker was assigned its 1922053040 by the Centers for Medicare & Medicaid Services on 2006-05-24.
When was the Stacey T. Broecker's information last updated?
The Stacey T. Broecker's information was last updated on 2018-11-20.