Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922053040 Individual Practitioner Female Practitioner

Dr. Stacey T. Broecker , OD

Optometrist • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Broecker, OD is a registered healthcare professional specializing in Optometrist in Saint Paul, MN. Practice services are available at 2356 UNIVERSITY AVE W under active NPI credentials.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2356 University Ave W

Saint Paul, MN 551141897

Telephone 6516458124
Fax 6516458125
Associated Practice Facility / Clinic
🏢 Broecker Eye & Optical Facility NPI 1114962529

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.2 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Saint Paul, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.6% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
11 11 $95.00 $36.51

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2108

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
808023200 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1770656845

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2356 UNIVERSITY AVE W, SAINT PAUL, MN 551141897 (Tel: 6516458124)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2356 UNIVERSITY AVE W, SAINT PAUL, MN 551141897 (Tel: 6516458124)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACEY BROECKER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2108 in MN)

🟢
Initial NPI Registration & Enumeration May 24, 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: 1922053040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2006
Last Update: November 20, 2018
Sole Proprietor: Yes

Mailing Address

2356 University Ave W

Saint Paul, MN 551141897

Phone: 6516458124

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.