Dr Eric T Brooker PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

NV439 Issued in NV

Legal business name

DR ERIC T BROOKER PC

Doing business as

Advantage Family Optical

Practice address

5269 S Eastern Ave
Las Vegas, NV 89119-2311

Phone

(702) 212-7755

Fax

(702) 795-0646

NPI assigned

May 27, 2008

Last updated

Jul 17, 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

Dr. Eric T Brooker, O.D.NPI 1386796969

Title

President/Owner

Phone

(702) 212-7755

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advantage Family Optical Doing business as

Locations

Practitioners 2

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.

• Eric T Brooker, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1386796969
  NPD (past) Authorized official
• Wenshan Liu, OD

  • Optometrist
  • Bend, OR
  • NPI 1295162642
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1285892240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5269 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192311",
            "telephone_number": "702-212-7755",
            "fax_number": "702-795-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5269 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192311",
            "telephone_number": "702-212-7755",
            "fax_number": "702-795-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ERIC T BROOKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "BROOKER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "702-212-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "V36513",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386796969",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Family Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.