Active NPI
Brooke Danielle Tobias, OD
- Optometrist
- Indianapolis, IN
National Provider Identifier
1427628668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004283A
- Practice address
- 1160 W Michigan St Ste 100
Indianapolis, IN 46202-5209 - Phone
- (317) 278-1470
- NPI assigned
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004283A | IN | Primary |
Addresses
Primary practice location
1160 W Michigan St Ste 100
Indianapolis, IN 46202-5209
Mailing address
65 N County Road 1800
West Point, IL 62380-2114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
820 E Jackson St
Macomb, IL 61455-2412
Phone (309) 833-4242
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.56 of 100
- Quality
- 89.58
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004283A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University | Optometrist | Current | Accepting new patients |
| Tim a Bengtson O.D., P.C. | Optometrist | Current | Accepting new patients |
| Indiana University | Current | Accepting new patients | |
| Indiana University | Optometrist | Past | Accepting new patients |
Locations
820 E Jackson St
Macomb, IL 61455
Phone (309) 343-1000
800 E Atwater Ave
Rm 263
Bloomington, IN 47405
1160 W Michigan St
Ste 100
Indianapolis, IN 46202
Phone (317) 278-1470
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Macomb, IL
- NPI 1285646661
-
- Optometrist
- Indianapolis, IN
- NPI 1497799787
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1689790552
-
- Optometrist
- Bloomington, IN
- NPI 1174566921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1427628668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 N COUNTY ROAD 1800",
"city": "WEST POINT",
"state": "IL",
"postal_code": "623802114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 W MICHIGAN ST STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025209",
"telephone_number": "317-278-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS",
"first_name": "BROOKE",
"middle_name": "DANIELLE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004283A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.