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Rebecca M. Bader, OD

Optometrist in Maple Grove, MN. Individual provider (NPI-1).

NPI number1306916622
StatusActive
Last updated in NPPESMar 29, 2021

Details

NPI
1306916622
Entity type
Individual (NPI-1)
Name
Rebecca M. Bader
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Nov 8, 2006
Certification date
Mar 29, 2021
Last updated
Mar 29, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OPTOMETRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist3045MNYes

Practice location

7840 Vinewood Ln N
Maple Grove, MN 55369-7185

Phone 612-262-5000

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-5000

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Maple Grove, MN

All 44 Optometrist providers in Maple Grove · All 2,061 providers in Maple Grove

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