Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY T. BROECKER, O.D.

Active Sole Proprietor

STACEY T. BROECKER, O.D. is a Optometrist healthcare provider located in SAINT PAUL, Minnesota. NPI 1922053040 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SAINT PAUL, MN

Registration Details

NPI Number: 1922053040
Provider Type: Individual
Gender: Female
NPI Issued: May 24, 2006 (20.251785817598 yrs)
Last Updated: Nov 20, 2018
License: 2108 (MN)
Sole Proprietor: Yes

Practice Information

Address: 2356 UNIVERSITY AVE W

SAINT PAUL, MN, 551141897
Browse MN providers · Browse ZIP 55114
Phone: 6516458124
Fax: 6516458125
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in SAINT PAUL, MN

Name	Credential	NPI
DR. BRIAN J SNYDER	O.D.	1609871557
DR. MARK HENNEN	OD	1215934559
MARLANE J BROWN	OD	1982699740
DR. SARAH JEANNE JEROME	OD	1528049459
MARK A KAPPHAHN	OD	1912979006
DR. ALEISHA JOO NORDIN	O.D.	1770546806

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.