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BURT DUBOW
NPI 1407844822
Optometrist in Waite Park, MN

Active since October 10, 2005
206 DIVISION ST, WAITE PARK, MN 56387(320) 253-0365(320) 253-9401 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Burt Dubow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURT DUBOW (NPI 1407844822) is an individual optometrist in Waite Park, Minnesota, licensed in Minnesota (1604) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1407844822
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBURT DUBOW
Location Address206 DIVISION STWaite Park, MN 56387-1331
Mailing AddressPo Box 7654Saint Cloud, MN 56302-7654 · (320) 253-0365 · Fax (320) 253-9401
Phone(320) 253-0365
Fax(320) 253-9401
Sole ProprietorNo
Enumeration DateOctober 10, 2005
Last NPPES UpdateDecember 4, 2007
✔ NPI 1407844822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 1604
Definition
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.
206 DIVISION ST, Waite Park, MN 56387
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Other Identifiers 7

OtherT65469MN · Select Care
Other73001MN · Preferred One
Medicare UPINT65469MN
Other54290DUMN · Blue Cross Blue Shield
Other2220109MN · Medica
Other14144MN · Mayo Mtg
Medicare PIN0464710001MN

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENNETT W NELSON O.D.
Optometrist
206 DIVISION ST
WAITE PARK, MN 56387
Stearns County (320) 253-0365
ANNA C MALIKOWSKI OD
Optometrist
206 DIVISION ST
WAITE PARK, MN 56387
Stearns County (320) 253-0365
GREGORY FRIEDERICHS
Optometrist
206 DIVISION ST
WAITE PARK, MN 56387
Stearns County (320) 253-0365
DR. LANETTE GREEN O.D.
Optometrist
206 DIVISION ST
WAITE PARK, MN 56387
Stearns County (320) 253-0365
EAGAN EYE CLINIC LLC
Optometrist
206 DIVISION ST
WAITE PARK, MN 56387
Stearns County (320) 235-0365
DR. ALEXANDER WILLIAM PARADIS OD
Optometrist
206 DIVISION ST
WAITE PARK, MN 56387
Stearns County (320) 253-0365
DR. SAVANNAH J JOHNSON OD
Optometrist
206 DIVISION ST
WAITE PARK, MN 56387
Stearns County (320) 253-0365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burt Dubow's NPI number?

The NPI number for Burt Dubow is 1407844822. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Burt Dubow located?

Burt Dubow practices at 206 Division St, Waite Park, MN 56387. The listed phone number is (320) 253-0365.

What is Burt Dubow's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Burt Dubow was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.