Brooks Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4115 Issued in FL

Legal business name

BROOKS EYE CARE LLC

Practice address

8890 Salrose LN
Unit 203
Fort Myers, FL 33912-2085

Phone

(239) 789-7899

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Trotter Brooks, O.D.NPI 1851488241

Title

President

Phone

(239) 789-7899

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Jordan Trotter Brooks, O.D.

  • Optometrist
  • Fort Myers, FL
  • NPI 1851488241
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1063841633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8034 SILVER BIRCH WAY",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339713769",
            "telephone_number": "239-789-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 SALROSE LN",
            "address_2": "UNIT 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339122085",
            "telephone_number": "239-789-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "TROTTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-789-7899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9213090",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621160700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "36003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Lindsey Broderick, D.M.D
• Margarita Brodskaya, FNP
• Julie Yolanda Bronson, FNP-C
• Brookdale Senior Living Communities, Inc
• Brookdale Senior Living Communities, Inc.
• Crystal Anita Brooks, PH.D.
• Jordan Trotter Brooks, O.D.
• Kevin George Brooks, O.D.
• Stephanie Brooks
• Kaira Broomfield

• Optometrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.