Elliott Dale Brubaker (NPI# 1508969403, PAC ID# 5193093193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1508969403 |
| PAC ID by PECOS | 5193093193 |
| Professional Enrollment ID | I20170804000135 |
| Full Name | Elliott Dale Brubaker |
| Organization Legal Name | VISIONWORKS, INC |
| Address |
915 W County Rd 42 Suite 2036 Burnsville MN 55306-4427 |
| Phone Number | 9524355011 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1985 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4385639616 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 915 W County Rd, 42 Suite 2036, Burnsville, MN 55306-4427 | 9524355011 | VISIONWORKS, INC |
| Organization Legal Name | VISIONWORKS, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hien T Pham | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Brynn K Peterson | Optometry | Visionworks, Inc | 3800 State Rd, La Crosse, WI 54603-1826 |
| Anna L Schmoll | Optometry | Visionworks, Inc | 4201 W Division St, Suite 90, St Cloud, MN 56301-4546 |
| Shana R Levy | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Street Address |
915 W COUNTY RD 42 SUITE 2036 |
| City | BURNSVILLE |
| State | MN |
| Zip | 55306-4427 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ia O Her | Optometry | Visionworks Inc | 915 W County Rd, 42 Suite 2036, Burnsville, MN 55306-4427 |
| Jeffrey M Peterson | Optometry | Visionworks Inc | 915 W County Rd, 42 Suite 2036, Burnsville, MN 55306-4427 |
| Stacy A Perreault | Optometry | Visionworks Inc | 915 W County Rd, 42 Suite 2036, Burnsville, MN 55306-4427 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Martin | Optometry | 1056 Burnsville Ctr, Burnsville, MN 55306-4408 | |
| Daniel P Clare | Optometry | Sirius Vision Optometry PC | 1056 Burnsville Ctr, Burnsville, MN 55306-4408 |
| Randal P North | Optometry | Drs. North and Watson, Optometrists P. A. | 2070 Burnsville Ctr, Suite 72, Burnsville, MN 55306-4438 |
| Jason Darsey Hohl | Chiropractic | 14321 Nicollet Ct, Suite 150, Burnsville, MN 55306-4560 | |
| Greg B Markeson | Optometry | 14250 Buck Hill Rd, Burnsville, MN 55306-4925 | |
| Sheila K White | Chiropractic | 14500 Burnhaven Dr, Suite 180, Burnsville, MN 55306-4960 | |
| Nancy P Rich | Clinical Social Worker | Bushman Psychological Services LLC | 14551 Judicial Rd, Suite 100, Burnsville, MN 55306-4991 |
| Jennifer Ginther | Clinical Social Worker | Bushman Psychological Services LLC | 14551 Judicial Rd, Suite 100, Burnsville, MN 55306-4991 |
| Patricia Murray | Psychologist, Clinical | Bushman Psychological Services LLC | 14551 Judicial Rd, Suite 100, Burnsville, MN 55306-4991 |
| Gary L Blount | Psychiatry | Bushman Psychological Services LLC | 14551 Judicial Rd, Suite 100, Burnsville, MN 55306-4991 |
| Find all physicians in zip 55306 | |||
| City | BURNSVILLE |
| Zip Code | 55306 |
| Specialty | OPTOMETRY |
| City + Specialty | BURNSVILLE + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.