Dustin James Brooks

Primary specialty

OptometristTaxonomy code 152W00000X

License

1615 Issued in KS

Practice address

2305 S Tucker St
Pittsburg, KS 66762-6530

Phone

(620) 232-2020

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Southern California College of Optometry, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Heartland Vision Center PAGroup PAC ID 4688661614, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Heartland Vision Center PA

  • Optometrist
  • Pittsburg, KS
  • NPI 1215075973

  KS, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Eyecare Associates of Parsons, LLC

  • Optometrist
  • Parsons, KS
  • NPI 1770541492
  NPD (past)
• Lens Mart Inc

  • Eyewear Supplier
  • Camdenton, MO
  • NPI 1275566044

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043358716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S TUCKER ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626530",
            "telephone_number": "620-232-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S TUCKER ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626530",
            "telephone_number": "620-232-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Brennon
• Bridges Community Care LLC
• Bridges Community Care, LLC
• Geraldine Britt, NP
• Broadway Chiropractic Clinic LLC
• Kenneth Wayne Brooks, O.D.
• Thomas C. Brooks, O.D.
• Monte Broussard, DC
• Todd Brynds, ATC
• Building Health Inc.

• Optometrist in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.