Lisa R. Brooks, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

02210 Issued in IA

Practice address

119 N. Ankeny Blvd
Eye Mart Optical
Ankeny, IA 50023

Phone

(515) 965-8858

Fax

(515) 965-7966

NPI assigned

Feb 13, 2006

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Real Optics IncGroup PAC ID 9830218122, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Real Optics Inc

  dba Vogue Vision, Eyemart Optical

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1003970344
  Medicare reassignment Care Compare group NPD
• Mark Dill OD PLC

  • Optometrist
  • Ames, IA
  • NPI 1154701381
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1013981638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 SE MILL POND CT",
            "address_2": "VERACITY, PC",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "50021",
            "telephone_number": "515-964-0050",
            "fax_number": "515-255-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N. ANKENY BLVD",
            "address_2": "EYE MART OPTICAL",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "50023",
            "telephone_number": "515-965-8858",
            "fax_number": "515-965-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LISA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "45555",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260315",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel L Brink, MD
• Morgan Brinning, DPT
• Brooke Lauren Brock, MA CCC-SLP
• Brookfield Family Chiropractic P.C.
• Jazzmine Brooks
• Caroline Brosnahan
• Jennifer Rye Brown, COTA/L
• Jessica Brown, BCBA
• Lori Miller Brown, RDH, MS
• Madison Alexandra Brown, MS, T-LMHC

• Optometrist in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.