Organization Active NPI

Brooks Optometric

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1306960307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1985 Issued in CO
Legal business name
BROOKS OPTOMETRIC
Practice address
6799 Bismark Rd Ste D
Colorado Springs, CO 80922-1188
Phone
(719) 574-2020
Fax
(719) 574-1391
NPI assigned
Mar 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith J Brooks, ODNPI 1447200795
Title
Owner
Phone
(719) 574-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT1985 CO Primary

Addresses

Primary practice location

6799 Bismark Rd Ste D
Colorado Springs, CO 80922-1188

Mailing address

6799 Bismark Rd Ste D
Colorado Springs, CO 80922-1188
Phone (719) 574-2020

Other names 1

  • Brooks Family Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

6799 Bismark Rd
Ste D
Colorado Springs, CO 80922
Phone (719) 574-2020

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306960307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 BISMARK RD STE D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809221188",
            "telephone_number": "719-574-2020",
            "fax_number": "719-574-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6799 BISMARK RD STE D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809221188",
            "telephone_number": "719-574-2020",
            "fax_number": "719-574-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS OPTOMETRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-574-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT1985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.