Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELLIOTT DALE BRUBAKER, O.D.
ActiveDR. ELLIOTT DALE BRUBAKER, O.D. is a Optometrist healthcare provider located in EAGAN, Minnesota. NPI 1508969403 is currently active in the NPPES registry. Verify at CMS.
Optometrist · EAGAN, MN
Registration Details
- NPI Number
- 1508969403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2006 (19.897361451211 yrs)
- Last Updated
- Aug 14, 2019
- License
-
2514 (MN)
Practice Information
- Address
-
1270 PROMENADE PL STE 120EAGAN, MN, 551212537Browse MN providers · Browse ZIP 55121
- Phone
- 6514528442
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in EAGAN, MN
| Name | Credential | NPI |
|---|---|---|
| DR. DENNIS OTTENSTROER | OD | 1770588840 |
| DR. BENJAMIN STOUT | OD | 1265437792 |
| DR. ERIN CARLSON | OD | 1174528608 |
| ABOLFAZL MONZAVI | OD | 1912960691 |
| DR. MARK LOCHRIDGE PLETZ | O.D. | 1497710586 |
| DR. JEFF BRUCE ANDERSON | O.D. | 1598864514 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.