Michael S Brooke

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MICHAEL S BROOKE

Practice address

302 N Harth Avenue
Madison, SD 57042

Phone

(605) 256-6911

Fax

(605) 256-9017

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Michael S Brooke, OD

Title

Optometrist Owner

Phone

(605) 256-6911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eyecare Center of Madison Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian Dejongh

  • Optometrist
  • Madison, SD
  • NPI 1538892112
  NPD (past)
• Jodie S Larson, OD

  • Optometrist
  • Madison, SD
  • NPI 1417942251
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1063420719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570420388",
            "telephone_number": "605-256-6911",
            "fax_number": "605-256-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N HARTH AVENUE",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "57042",
            "telephone_number": "605-256-6911",
            "fax_number": "605-256-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S BROOKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "BROOKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST  OWNER",
        "authorized_official_telephone_number": "605-256-6911",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4999744",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Center of Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Vision Clinic
• Madison Vision Clinic, Inc.
• Angela Meinen, LPC, QMHP
• Andrew Menigoz, DPT
• Kirsti Hasleton Meyer
• Holly Jo Molascon, M.A., CCC-SLP
• Bailey Jo Munk, M.S
• Allie Murphy, LPC
• Erin M. Nielsen
• Shawn Earl Nills, M.S., NBCC, LPC,QMHP

• Optometrist in Madison, SD
• Providers in Madison, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.