Matthew P Brooks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2515 Issued in OK

Practice address

1200 NW 178TH St
Ste 100
Edmond, OK 73012

Phone

(405) 509-2100

Fax

(405) 509-2288

NPI assigned

Aug 7, 2007

Last updated

Oct 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Southern College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative EyecareGroup PAC ID 4486843513, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drmatthewbrooks@innovative-eye-care.direct.kno2fy.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.

• Innovative Eyecare

  • Optometrist
  • Edmond, OK
  • NPI 1427365246
  Medicare reassignment Care Compare group NPD Authorized official
• Ocular Physicians Associates

  • Optometrist
  • Oklahoma City, OK
  • NPI 1245253509
  Medicare reassignment NPD

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1386835148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW 178TH ST",
            "address_2": "STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73012",
            "telephone_number": "405-509-2100",
            "fax_number": "405-509-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW 178TH ST",
            "address_2": "STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73012",
            "telephone_number": "405-509-2100",
            "fax_number": "405-509-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Brooks
• Jeanierose Brooks, ATC
• Jennifer Brooks, O.D.
• Lanny Don Brooks, M.ED., L.P.C.
• Maryann Brooks, LCSW
• Timmy Brooks, DDS
• Justin Miles Brous
• Toby D Broussard, M.D.
• Amber Dawn Brown, CNP, APRN
• Anitta Brown

• Optometrist in Edmond, OK
• Providers in Edmond, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.