Broecker Eye & Optical

NPI #1114962529 in Saint Paul, Minnesota

Provider Information

NPI Number: 1114962529
Entity Type: Organization
Organization Name: Broecker Eye & Optical
Primary Specialty: Optometrist
Enumeration Date: Jun 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2356 UNIVERSITY AVE W
Address 2: SUITE 260
City: Saint Paul
State: Minnesota
ZIP Code: 55114-1853
Phone: (651) 645-8124

Authorized Official

Name: STACEY T. BROECKER, O.D.
Title: OPTOMETRIST
Phone: (651) 645-8124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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