NPIMap

Organization Active NPI

Michael S Brooke

Doing business as Eyecare Center of Madison

  • Optometrist
  • Madison, SD
National Provider Identifier
1063420719
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MICHAEL S BROOKE
Doing business as
Eyecare Center of Madison
Practice address
302 N Harth Avenue
Madison, SD 57042
Phone
(605) 256-6911
Fax
(605) 256-9017
NPI assigned
Aug 4, 2006
Last updated
Dec 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Michael S Brooke, ODNPI 1306854062
Title
Optometrist Owner
Phone
(605) 256-6911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X SD Primary

Addresses

Primary practice location

302 N Harth Avenue
Madison, SD 57042

Mailing address

PO Box 388
Madison, SD 57042-0388
Phone (605) 256-6911

Other names 1

  • Eyecare Center of Madison Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Center of Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, SD

Sources for this page

  • 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.