Individual provider Active NPI

Geraldine Royle Brooks, O.D.

  • Optometrist
  • Rocklin, CA
National Provider Identifier
1083681571
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10408T Issued in CA
Practice address
2230 Sunset Blvd
Suite 380
Rocklin, CA 95765-4273
Phone
(916) 259-2020
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10408T CA Primary

Addresses

Primary practice location

2230 Sunset Blvd
Suite 380
Rocklin, CA 95765-4273

Mailing address

2230 Sunset Blvd
Ste 380
Rocklin, CA 95765-4274
Phone (408) 368-7998

Other identifiers 1

IdentifierTypeStateIssuer
11458950OtherCACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20090211000278 CA Practitioner - Optometry 9234192345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2230 Sunset Blvd
Suite 380
Rocklin, CA 95765-4274
Phone (916) 259-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10408TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Precision Optometry, Inc. Optometrist CurrentSince Dec 15, 2011 Accepting new patients

Locations

2230 Sunset Blvd
Ste 380
Rocklin, CA 95765
Phone (408) 368-7998

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1083681571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 SUNSET BLVD",
            "address_2": "STE 380",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654274",
            "telephone_number": "408-368-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 SUNSET BLVD",
            "address_2": "SUITE 380",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654273",
            "telephone_number": "916-259-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "GERALDINE",
        "middle_name": "ROYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10408T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11458950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.