BROOKE BUSH
NPI 1679924419
Optometrist in Lakeville, MN

Q: What is Brooke Bush's NPI number?

The NPI number for Brooke Bush is 1679924419. It was assigned to this organization in the NPPES registry on June 22, 2016.

Q: What is Brooke Bush's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brooke Bush was last updated on June 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2016

18275 KENRICK AVE, LAKEVILLE, MN 55044(507) 884-9474 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Brooke Bush NPPES

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

BROOKE BUSH (NPI 1679924419) is a healthcare organization registered as an optometrist in Lakeville, Minnesota and active in the NPI registry since June 2016. The organization lists Brooke Bush, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1679924419

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBROOKE BUSH

Location Address18275 KENRICK AVELakeville, MN 55044-7306

Mailing AddressPo Box 211702Eagan, MN 55121-3702 · (507) 884-9474

Phone(507) 884-9474

Organization SubpartNo

Authorized OfficialBrooke BushOptometrist · (507) 884-9474

Enumeration DateJune 22, 2016

✔ NPI 1679924419 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 · 3123

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.

18275 KENRICK AVE, Lakeville, MN 55044

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP