Brooke A Wiener (NPI# 1356367866, PAC ID# 5092715151) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1356367866 |
| PAC ID by PECOS | 5092715151 |
| Professional Enrollment ID | I20090611000348 |
| Full Name | Brooke A Wiener |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Address |
5630 St Croix Trail North Branch MN 55056 |
| Phone Number | 6516749951 |
| Gender | F |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2006 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749292639 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5630 St Croix Trail, North Branch, MN 55056 | 6516749951 | SHOPKO STORES OPERATING CO LLC |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor L Douglas | Optometry | Shopko Stores Operating Co LLC | 900 W Memorial Rd, Shopko Optical 123, Houghton, MI 44931-2481 |
| James D Mckell | Optometry | Shopko Stores Operating Co LLC | 955 N Main St, Spanish Fork, UT 84660-1150 |
| Kelly Rd Mccarthy | Optometry | Shopko Stores Operating Co LLC | 510 E Philip Ave, North Platte, NE 69101-5538 |
| Jodi A Bergstrom | Optometry | Shopko Stores Operating Co LLC | 801 W Central Entrance, Duluth, MN 55811-5468 |
| Kellye P Zaporski | Optometry | Shopko Stores Operating Co LLC | 701 S Church St, Watertown, WI 53094-6213 |
| Theresa M Dellaert | Optometry | Shopko Stores Operating Co LLC | 255 John F Kennedy Rd, Dubuque, IA 52002-5313 |
| Karl T Jepson | Optometry | Shopko Stores Operating Co LLC | 510 E Phillip Ave, North Platte, NE 69101-5538 |
| Jared W Nelson | Optometry | Shopko Stores Operating Co LLC | 747 S Main St, Brigham City, UT 84302-3359 |
| Margaret A Wolan | Optometry | Shopko Stores Operating Co LLC | 7401 Mineral Point Rd, Madison, WI 53717-1703 |
| Robert P Todd | Optometry | Shopko Stores Operating Co LLC | 211 S 23rd St, Shopko Optical 4662, Plattsmouth, NE 68048-2903 |
| Street Address |
5630 ST CROIX TRAIL |
| City | NORTH BRANCH |
| State | MN |
| Zip | 55056 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karla J Lind | Nurse Practitioner | Fairview Health Services | 5366 386th Nest, North Branch, MN 55056-5833 |
| Kelle Anderson | Family Medicine | Fairview Health Services | 5366 386th Nest, North Branch, MN 55056-5833 |
| James J Martineau | Nurse Practitioner | Fairview Health Services | 5366 386th Nest, North Branch, MN 55056-5833 |
| Jena M Labine | Nurse Practitioner | Fairview Health Services | 5366 386th Nest, North Branch, MN 55056-5833 |
| Tiffany N Ling | Nurse Practitioner | Fairview Health Services | 5366 386th Nest, North Branch, MN 55056-5833 |
| Brian S Hilliard | Internal Medicine | Fairview Health Services | 5366 386th Nest, North Branch, MN 55056-5833 |
| Michelle M Nelson | Nurse Practitioner | Fairview Health Services | 5366 386th Nest, North Branch, MN 55056-5833 |
| Zachary P Kaltenborn | Internal Medicine | Fairview Health Services | 5366 386th Nest, North Branch, MN 55056-5833 |
| Ellen A Overson | Internal Medicine | Fairview Health Services | 5366 386th Nest, North Branch, MN 55056-5833 |
| Valerie N Koski | Clinical Social Worker | Haven Center Inc | 38460 Lincoln Trl, North Branch, MN 55056-5834 |
| Find all physicians in zip 55056 | |||
| City | NORTH BRANCH |
| Zip Code | 55056 |
| Specialty | OPTOMETRY |
| City + Specialty | NORTH BRANCH + OPTOMETRY |
Please comment or provide details below to improve the information on Brooke A Wiener.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.