WILLIAM CLIFFORD BROSE O.D.,
NPI 1801933627
Optometrist in Maple Grove, MN

Q: What is William Brose's NPI number?

The NPI number for William Brose is 1801933627. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is William Brose'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 William Brose was last updated on February 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 31, 2007

12131 ELM CREEK BLVD N, MAPLE GROVE, MN 55369(763) 416-1983(763) 416-4084 Get Directions Write a Review

NPPES record last updated: February 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About William Clifford Brose O.d., NPPES

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

WILLIAM CLIFFORD BROSE O.D., (NPI 1801933627) is an individual optometrist in Maple Grove, Minnesota, licensed in Minnesota (MN1544) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1801933627

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameWILLIAM CLIFFORD BROSECredential: O.D.,

Location Address12131 ELM CREEK BLVD NMaple Grove, MN 55369-7093

Mailing Address6632 Flag Ave NBrooklyn Park, MN 55428-1853 · (763) 535-7011

Phone(763) 416-1983

Fax(763) 416-4084

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateFebruary 13, 2015

✔ NPI 1801933627 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 · MN1544

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.

12131 ELM CREEK BLVD N, Maple Grove, MN 55369

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Other Identifiers 8

Other219101033314MN · Prefered One

OtherHP39712MN · Health Partners

Other2202190MN · Medica

Medicare ID-Type Unspecified410002142MN

OtherBR952237MN · Highmark Blue Cross

Other168L0BRMN · Blue Cross Blue Shield

Other1808007MN · Definity Health

Medicaid121823900MN

Other Providers at the Same Location NPPES 5

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

ANTHONY LOUIS LOVCIK O.D.

Optometrist