Michael Steven Brooke, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T507 Issued in SD

Practice address

302 N Harth Avenue
Madison, SD 57042

Phone

(605) 256-6911

Fax

(605) 256-9017

NPI assigned

Aug 4, 2006

Last updated

Nov 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.brooke@direct.revolutionehr.com

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.

• Eyecare Center of Madison Prof LLC

  dba Eyecare Center of Madison

  • Optometrist
  • Madison, SD
  • NPI 1508117151
  Medicare reassignment NPD Authorized official
• Michael S Brooke

  dba Eyecare Center of Madison

  • Optometrist
  • Madison, SD
  • NPI 1063420719
  Authorized official Same address or phone

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1306854062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570420388",
            "telephone_number": "605-256-6911",
            "fax_number": "605-256-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N HARTH AVENUE",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "57042",
            "telephone_number": "605-256-6911",
            "fax_number": "605-256-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKE",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "T507",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1533TX",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202922",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary W Beecher, M.D.
• Judson J Bergan, OD
• Bethel Lutheran Home
• Paul Bindert
• Abigayle Rose Blanchette, PHARMD
• Tonya D Buchholz, CNP
• Ryan Buse, M.D.
• Douglas J Caron, DC
• Samuel Clement Carr
• Renae Christensen, ED.S.

• Optometrist in Madison, SD
• Providers in Madison, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.