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Active NPI 1508969403 Individual Practitioner Male Practitioner

Dr. Elliott Dale Brubaker , OD

Optometrist • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Dr. Elliott Brubaker, OD is a registered healthcare professional specializing in Optometrist in Eagan, MN. Practice services are available at 1270 PROMENADE PL STE 120 under active NPI credentials.

Frequently performed procedures and clinical services include new patient complete exam of visual system, established patient complete exam of visual system, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1270 Promenade Pl Ste 120

Eagan, MN 551212537

Telephone 6514528442
Associated Practice Facility / Clinic
🏢 Elijah Institute Facility NPI 1043133770

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Eagan, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
26.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
54 54 $195.00 $150.73
92014 Established patient complete exam of visual system
52 52 $195.00 $126.80
92012 Established patient problem focused exam of visual system
39 39 $110.00 $88.26

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2514

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.

Secondary Practice Locations

1270 Promenade Pl Ste 120

Eagan, MN 551212537

Phone: 6514511805

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 14, 2019

Registered at 1270 PROMENADE PL STE 120, EAGAN, MN 551212537 (Tel: 6514528442)

📍
Updated Business Mailing Address August 14, 2019

Registered at 16224 HOMINY PATH, LAKEVILLE, MN 550443817 (Tel: 6122403802)

NPI Profile Active August 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2015

Registered at 7635 150TH STREET WEST, VISION CENTER, APPLE VALLEY, MN 55124 (Tel: 9524319709)

📍
Updated Business Mailing Address August 05, 2015

Registered at 11712 GALTIER DR, BURNSVILLE, MN 553373208 (Tel: 9524261153)

👤
Provider Name / Credentials Updated August 05, 2015

Recorded as ELLIOTT BRUBAKER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2015

Optometrist (License #2514 in MN)

🟢
Initial NPI Registration & Enumeration September 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508969403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2006
Last Update: August 14, 2019
Sole Proprietor: No

Mailing Address

16224 Hominy Path

Lakeville, MN 550443817

Phone: 6122403802

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.