DR. ELLIOTT DALE BRUBAKER (NPI# 1508969403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508969403 |
| Entity Type | Individual |
| Full Name | DR. ELLIOTT DALE BRUBAKER |
| Credential | O.D. |
| Practice Address |
1270 Promenade Pl Ste 120 Eagan MN 55121-2537 |
| Mailing Address |
16224 Hominy Path Lakeville MN 55044-3817 |
| Practice Telephone | 6514528442 |
| Mailing Telephone | 6122403802 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2514 | MN | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1270 Promenade Pl Ste 120, Eagan, MN 551212537 | 6514511805 |
| Street Address |
1270 PROMENADE PL STE 120 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409885 | Russell N Osnes Od & Associates Pa | Optometrist | 1340 Duckwood Dr Ste 14, Eagan, MN 55123-2324 | 2020-05-22 |
| 1043860281 | National Vision Inc | Optometrist | 1278 Town Centre Dr Ste 155, Eagan, MN 55123-6404 | 2019-09-19 |
| 1427146372 | Matthew William Grange | Optometrist | 1340 Duckwood Dr, Suite 14, Eagan, MN 55123-2324 | 2006-10-10 |
| 1497710586 | Mark Lochridge Pletz | Optometrist | 3035 Denmark Ave, Eagan, MN 55121-2257 | 2006-04-20 |
| 1770588840 | Dennis Ottenstroer | Optometrist | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 | 2005-06-16 |
| 1235737990 | Family Vision of Minnesota Pllc | Optometrist | 995 Blue Gentian Rd, Eagan, MN 55121-1542 | 2020-10-15 |
| 1407475403 | Binh Thanh Dang | Optometrist | 1278 Town Centre Dr Ste 155, Eagan, MN 55123-6404 | 2020-04-10 |
| 1467927525 | Dramen Eyecare, LLC | Optometrist | 1360 Town Centre Dr, Eagan, MN 55123-2310 | 2018-10-04 |
| 1982188215 | Danielle Marie Dramen | Optometrist | 1360 Town Centre Dr, Eagan, MN 55123-2310 | 2018-09-21 |
| 1205321148 | Stephanie Rose Norberg | Optometrist | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 | 2018-06-23 |
| Find all providers in EAGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.