Individual provider Active NPI

Lukas Borgwardt, OD

  • Optometrist
  • New Ulm, MN
National Provider Identifier
1265367692
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4069 Issued in MN
Practice address
1715 S Broadway St
PO Box 727
New Ulm, MN 56073-3751
Phone
(507) 354-8531
Fax
(507) 359-1124
NPI assigned
Jun 16, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4069 MN Primary

Addresses

Primary practice location

1715 S Broadway St
PO Box 727
New Ulm, MN 56073-3751

Mailing address

1715 S Broadway St
PO Box 727
New Ulm, MN 56073-3751
Phone (507) 354-8531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1715 S Broadway St
New Ulm, MN 56073-3751

PO Box
Suite 727
New Ulm, MN 56073-0727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1265367692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY ST",
            "address_2": "PO BOX 727",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733751",
            "telephone_number": "507-354-8531",
            "fax_number": "507-359-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY ST",
            "address_2": "PO BOX 727",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733751",
            "telephone_number": "507-354-8531",
            "fax_number": "507-359-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGWARDT",
        "first_name": "LUKAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

Sources for this page

Verify at the official NPI Registry.