DR. NICOLE BRODEN OD - NPI 1891356606 - Optometrist in Lakeville, MN

Q: What is Nicole Broden's NPI number?

The NPI number for Nicole Broden is 1891356606. It was assigned to this individual provider in the NPPES registry on June 23, 2019.

Q: What is Nicole Broden'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 Nicole Broden was last updated on January 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Nicole Broden Od NPPES

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

DR. NICOLE BRODEN OD (NPI 1891356606) is an individual optometrist in Lakeville, Minnesota, licensed in Minnesota (3996) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2019).

NPPES Registry Identity

NPI1891356606

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. NICOLE BRODENCredential: OD

Location Address20710 KEOKUK AVELakeville, MN 55044-6620

Mailing Address20710 Keokuk AveLakeville, MN 55044-6620 · (612) 354-5931

Phone(612) 354-5931

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2019

Enumeration DateJune 23, 2019

Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1891356606 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 · 3996

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.

20710 KEOKUK AVE, Lakeville, MN 55044

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Broden Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234557455

PECOS Enrollment IDI20200918002216

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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