Brooks Optical, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1101 001117 Issued in VA

Legal business name

BROOKS OPTICAL, INC.

Practice address

5520B Lakeside Ave
Richmond, VA 23228-5750

Phone

(804) 261-0222

NPI assigned

Dec 3, 2007

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila M Brooks, REGISTERED OPTICIANNPI 1982735072

Title

President/Optician

Phone

(804) 261-0222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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, and the practitioner matching its NPPES authorized official.

• Sheila Brooks, R.O.

  • Optician
  • Richmond, VA
  • NPI 1982735072
  NPD (past) Authorized official

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1144402900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520B LAKESIDE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285750",
            "telephone_number": "804-261-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520B LAKESIDE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285750",
            "telephone_number": "804-261-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OPTICIAN",
        "authorized_official_telephone_number": "804-261-0222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "1101 001117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC-BS",
            "identifier": "137414",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Alan Broocker
• Valerie A Brookeman, MD, PH.D
• Andrea Leigh Brookhart, PHARMD
• Richard Robert Brookman, M.D.
• Janet Irere Brookover
• Malinda A Brooks-Williams, M.D.
• Amy Northrop Brooks, PHD, MS
• Anaisa Leigh Brooks
• Ashley Brooks, PHARMD
• Denise Melissa Brooks, PA-C

• Eyewear Supplier in Richmond, VA
• Providers in Richmond, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.