Individual provider Active NPI

Joshua Evans Brooks, OD

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1306332101
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003409 Issued in CO
Practice address
375 E Horsetooth Rd BLDG 5 Ste 201
Fort Collins, CO 80525
Phone
(970) 377-3111
Fax
(970) 282-0111
NPI assigned
Jul 3, 2018
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003409 CO Primary

Addresses

Primary practice location

375 E Horsetooth Rd BLDG 5 Ste 201
Fort Collins, CO 80525

Mailing address

2712 Dundee CT
Fort Collins, CO 80525-2207
Phone (801) 362-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180830003596 CO Practitioner - Optometry 6305196981 Reassigns benefits to 1 organization
I20210308001638 WA Practitioner - Optometry 6305196981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alderwood Optometric Services PLLCGroup PAC ID 1951686575, 3 clinicians

Practice addresses (Care Compare)

2502 196TH St SW
Suite 114
Lynnwood, WA 98036-7091
Phone (425) 771-2662

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003409COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alderwood Optometric Services PLLC Optometrist CurrentSince Dec 30, 2022 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Mill Creek Family Eyewear Optometrist CurrentSince Oct 31, 2020 Accepting new patients
Sowash Optometry Group PC Optometrist CurrentSince Sep 1, 2018 Accepting new patients

Locations

2407 S College Ave
Ste 300
Fort Collins, CO 80525
Phone (970) 484-3787

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

2502 196th St SW
Ste 114
Lynnwood, WA 98036
Phone (425) 771-2662

16708 Bothell Everett Hwy
Ste 103
Mill Creek, WA 98012
Phone (425) 480-3111

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1306332101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 DUNDEE CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252207",
            "telephone_number": "801-362-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD BLDG 5 STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-377-3111",
            "fax_number": "970-282-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JOSHUA",
        "middle_name": "EVANS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.