Organization
BROECKER EYE & OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY T. BROECKER O.D. (OPTOMETRIST)
(651) 645-8124
Entity
Organization
Contact information
Practice address
2356 UNIVERSITY AVE W, SUITE 260, SAINT PAUL, MN 55114-1853
(651) 645-8124
(651) 645-8125
Mailing address
2356 UNIVERSITY AVE W, SUITE 260, SAINT PAUL, MN 55114-1853
(651) 645-8124
(651) 645-8125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2108
MN
Other
Enumeration date
06/19/2006
Last updated
08/22/2020
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