Individual provider Active NPI

Thomas C. Brooks, O.D.

  • Optometrist
  • Pittsburg, KS
National Provider Identifier
1386834448
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1765 Issued in KS
Practice address
2305 S Tucker St
Pittsburg, KS 66762-6530
Phone
(620) 232-2020
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1765 KS Primary

Addresses

Primary practice location

2305 S Tucker St
Pittsburg, KS 66762-6530

Mailing address

2305 S Tucker St
Pittsburg, KS 66762-6530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20070925000485 KS Practitioner - Optometry 8921192634 Reassigns benefits to 1 organization
Practice locations: Ft Scott, KS; Parsons, KS

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Heartland Vision Center PAGroup PAC ID 4688661614, 2 clinicians

Practice addresses (Care Compare)

2305 S Tucker St
Pittsburg, KS 66762-6530
Phone (620) 232-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Vision Center PA Optometrist CurrentSince Sep 1, 2010 Accepting new patients

Locations

101 W Maple St
Columbus, KS 66725
Phone (316) 421-5270

2305 S Tucker St
Pittsburg, KS 66762
Phone (316) 232-2020

Organizations & group practices 1

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1386834448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S TUCKER ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S TUCKER ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626530",
            "telephone_number": "620-232-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "THOMAS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.