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

Stacy Pirruccello, OD

Individual provider Optometrist · NPI 1780161539

Stacy Pirruccello, OD is an Optometry in Maple Grove, Minnesota. Qualified in 2018, 8 years ago. Practices with Brokea Inc, an 8-clinician group. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
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

13195 Weaver Lake Rd
Maple Grove, MN 55369-9410
Phone: (763) 420-5112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3587 (MN)

Record details

NPI number1780161539
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 24, 2018
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address13195 Weaver Lake Rd, Maple Grove, MN 55369-9410

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Brokea Inc. — 8 clinicians
Accepts Medicare assignment Not indicated

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