Erik Christopher Brendtro, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2508 Issued in MN

Practice address

850 County Road E E
Vadnais Heights, MN 55127-7117

Phone

(651) 486-7303

Fax

(651) 486-7702

NPI assigned

Aug 30, 2006

Last updated

May 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1528178688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COUNTY ROAD E E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277117",
            "telephone_number": "651-486-7303",
            "fax_number": "651-486-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COUNTY ROAD E E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277117",
            "telephone_number": "651-486-7303",
            "fax_number": "651-486-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDTRO",
        "first_name": "ERIK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2508",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA HEALTH PLANS",
            "identifier": "22-01067",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS& BLUE SHIELD",
            "identifier": "4C199BR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Boyea, PSYD, LP
• Jennifer Bradley, PT
• Brittney Marie Brager, PHARMD
• Joseph Brandenburg, PHARMD
• Rachel A Brang, PAC
• Caitlin Broberg
• Connor Brown
• Ally E Brugler, PT
• Grace Bryant, MA, LPCC, LADC
• Buena Vista Home Care LLC

• Optometrist in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.