Dr. Brandon Koupal, OD
Optometrist in Burnsville, MN. Individual provider (NPI-1).
NPI number1194403774
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1194403774
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brandon Koupal
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2023
- Certification date
- Jul 12, 2023
- Last updated
- Jul 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3874 | MN | Yes |
Practice location
1004 County Road 42 EBurnsville, MN 55337-4652
Phone 952-894-1400
Mailing address
8300 Commonwealth DriveApt 334
Eden Prairie, MN 55344
Phone 605-261-6327
Other practice locations
17690 Kenwood Trl
Lakeville, MN 55044-9764
Lakeville, MN 55044-9764
Phone 952-898-9588
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All 31 Optometrist providers in Burnsville · All 3,414 providers in Burnsville
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