Broecker Eye & Optical
NPI 1114962529 · Optometrist · Saint Paul, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broecker Eye & Optical is a Optometrist organization in Saint Paul, MN (NPI 1114962529).
Provider details
- NPI number
- 1114962529
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Stacey Broecker, Optometrist(651) 645-8124
- License
- 2108 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2020-08-22
Frequently asked questions
- What is Broecker Eye & Optical's NPI number?
- Broecker Eye & Optical's National Provider Identifier (NPI) is 1114962529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broecker Eye & Optical?
- Broecker Eye & Optical is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Broecker Eye & Optical located?
- Broecker Eye & Optical's practice location on file with NPPES is 2356 University Ave W, Saint Paul, MN 55114-1853.
- What is Broecker Eye & Optical's phone number?
- The practice phone number listed in the NPPES registry for Broecker Eye & Optical is (651) 645-8124.
- Does Broecker Eye & Optical accept Medicare?
- Broecker Eye & Optical is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broecker Eye & Optical?
- The authorized official listed on Broecker Eye & Optical's NPPES record is Stacey Broecker, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broecker Eye & Optical's NPI active?
- Yes — Broecker Eye & Optical's NPI (1114962529) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.