Organization Active NPI

Fox Brook Eye Care LLC

Doing business as Fox Brook Eye Care

  • Optometrist
  • Brookfield, WI
National Provider Identifier
1417832445
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FOX BROOK EYE CARE LLC
Doing business as
Fox Brook Eye Care
Practice address
17495 W Capitol Dr Ste D
Brookfield, WI 53045-2059
Phone
(262) 797-9638
Fax
(262) 797-9648
NPI assigned
Aug 8, 2025
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Dr. Alexandra Brandt, ODNPI 1205361359
Title
Optometrist
Phone
(414) 429-4529

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

17495 W Capitol Dr Ste D
Brookfield, WI 53045-2059

Mailing address

17495 W Capitol Dr Ste D
Brookfield, WI 53045-2059
Phone (262) 797-9638

Other names 1

  • Fox Brook Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251015000943 WI Part B Supplier - Clinic/Group Practice 9234626003 Receives reassigned benefits from 3 practitioners
Practice locations: Brookfield, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2227810Fox Brook Eye Care LLC17495 W Capitol Dr Ste D, Brookfield, WI 53045Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory

Locations

17495 W Capitol Dr
Ste D
Brookfield, WI 53045
Phone (262) 797-9638

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1417832445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17495 W CAPITOL DR STE D",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452059",
            "telephone_number": "262-797-9638",
            "fax_number": "262-797-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17495 W CAPITOL DR STE D",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452059",
            "telephone_number": "262-797-9638",
            "fax_number": "262-797-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX BROOK EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "414-429-4529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Brook Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.