Stacey T. Broecker is a Saint Paul, Minnesota based female Optometrist with 38 years of experience in Optometry. She completed her graduation from State University Of New York - State College Optometry in 1986. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stacey T. Broecker is 2108 for Optometry in Minnesota.
Stacey T. Broecker examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Stacey T. Broecker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry |
| Credentials: | O.D. |
| Experience: | 38+ years |
| Medical School Attended: | State University Of New York - State College Optometry |
| Graduation Year: | 1986 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2356 University Ave W, Saint Paul,
Minnesota, 55114-1897 |
| Phone: | 651-645-8124 |
| Fax: | 651-645-8125 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7416915715 |
| Enrollment ID: | I20050106000059 |
| NPI Number: | 1922053040 |
| NPI Enumeration Date: | 24 May, 2006 |
| NPI Last Update On: | 20 Nov, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey T. Broecker are as mentioned below.
| License Number | Specialization | State | Status | |
| 2108 | Optometry | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacey T. Broecker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 808023200 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2356 University Ave W,
Saint Paul, Minnesota |
| Zip: | 55114-1897 |
| Phone Number: | 651-645-8124 |
| Fax Number: | 651-645-8125 |
Patients can reach Stacey T. Broecker at
2356 University Ave W, Saint Paul, Minnesota or can
call to book an appointment on 651-645-8124. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.