Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Buboltz, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1205249620

Dr. Mark Buboltz, OD is an Optometry in Bloomington, Minnesota. Graduated from Illinois College of Optometry at Chicago in 2014, 12 years ago. Practices with Minnesota Eye Consultants, PA, a 33-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Trained at
Illinois College of Optometry at Chicago
Licensed in
MN
In the registry since
2014
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

9801 Dupont Ave S Ste 200
Bloomington, MN 55431-3100
Phone: (952) 888-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence 3376 (MN)

Record details

NPI number1205249620
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 3, 2014
Last updated in NPPESJune 11, 2014
Mailing address9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2014 (12 years in practice)
Group practice Minnesota Eye Consultants, Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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