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DR. ELLIOTT DALE BRUBAKER O.D.
NPI 1508969403
Optometrist in Eagan, MN

Active since September 06, 2006
1270 PROMENADE PL STE 120, EAGAN, MN 55121(651) 452-8442 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elliott Dale Brubaker O.d. NPPES

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

DR. ELLIOTT DALE BRUBAKER O.D. (NPI 1508969403) is an individual optometrist in Eagan, Minnesota, licensed in Minnesota (2514) and active in the NPI registry since September 2006. He maintains a secondary practice location in Eagan.

NPPES Registry Identity

NPI1508969403
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ELLIOTT DALE BRUBAKERCredential: O.D.
Location Address1270 PROMENADE PL STE 120Eagan, MN 55121-2537
Mailing Address16224 Hominy PathLakeville, MN 55044-3817 · (612) 240-3802
Phone(651) 452-8442
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateAugust 14, 2019
✔ NPI 1508969403 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 · 2514
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.
1270 PROMENADE PL STE 120, Eagan, MN 55121
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Secondary Practice Location 1

Location 11270 Promenade Pl Ste 120Eagan, MN 55121-2537 · Phone (651) 451-1805

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Elliott Brubaker's NPI number?

The NPI number for Elliott Brubaker is 1508969403. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Elliott Brubaker located?

Elliott Brubaker practices at 1270 Promenade Pl Ste 120, Eagan, MN 55121. The listed phone number is (651) 452-8442.

What is Elliott Brubaker's specialty?

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

What insurance does Elliott Brubaker accept?

Health plans from Providence Health Plan list Elliott Brubaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elliott Brubaker was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.