Brook Run Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BROOK RUN VISION CENTER

Practice address

9335 Chamberlayne Rd
Mechanicsville, VA 23116-2805

Phone

(804) 264-2956

Fax

(804) 267-0447

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Daniel P Gray, ODNPI 1194721449

Title

Owner

Phone

(804) 264-2956

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: drpederson@brvc.eyefinity-direct.com
• Direct secure messaging: drpeters@brvc.eyefinity-direct.com
• Direct secure messaging: dpgod@brvc.eyefinity-direct.com

Practitioners 4

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

• Daniel P Gray, O.D.

  • Optometrist
  • Mechanicsville, VA
  • NPI 1194721449
  Medicare reassignment Care Compare group NPD Authorized official
• Brady Pederson

  • Optometrist
  • Glen Allen, VA
  • NPI 1841667763
  Medicare reassignment Care Compare group NPD
• Lester G Peters, O.D.

  • Optometrist
  • Richmond, VA
  • NPI 1467554436
  Medicare reassignment Care Compare group NPD
• Anita Malasani Prasad, OD

  • Optometrist
  • Mechanicsville, VA
  • NPI 1356206452
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1235344045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9335 CHAMBERLAYNE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162805",
            "telephone_number": "804-264-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9335 CHAMBERLAYNE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162805",
            "telephone_number": "804-264-2956",
            "fax_number": "804-267-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK RUN VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-264-2956",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brighter Pathways LLC
• Logan Broache
• Melissa L Brock, CST/CSFA
• Sara K. Brockbank, OT
• James P. Brodeur, M.D.
• Jessica Brooks, LCP
• Katherine Brooks
• Mackenzie Ross Brooks, LMFT
• Jeff A Brown, MD
• Letitia Brown

• Optometrist in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.