Individual provider Active NPI

Daniel J Brooksbank, OD

  • Optometrist
  • Toms River, NJ
National Provider Identifier
1538136403
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00551800 Issued in NJ
Practice address
601 Route 37 West
Toms River, NJ 08755-8050
Phone
(732) 244-4400
Fax
(732) 505-2171
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00551800 NJ Primary

Addresses

Primary practice location

601 Route 37 West
Toms River, NJ 08755-8050

Mailing address

601 Route 37 West
Toms River, NJ 08755-8050
Phone (732) 244-4400

Other identifiers 1

IdentifierTypeStateIssuer
410040050OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050425000995 NJ Practitioner - Optometry 3577502079 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priority Eye Care LLCGroup PAC ID 7719319854, 3 clinicians
Ocean Eye Institute PAGroup PAC ID 1254389828, 10 clinicians

Practice addresses (Care Compare)

326 W Main St
Freehold, NJ 07728-2524
Phone (732) 561-8551

601 Route 37 W
Toms River, NJ 08755-8050
Phone (732) 244-4400

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00551800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
MRL Vision Associates Inc Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Ocean Eye Institute PA CurrentSince Oct 31, 1997 Accepting new patients
Priority Eye Care, LLC Optometrist CurrentSince Nov 2, 2018 Accepting new patients
Monmouth County Primary Eye Care LLC Optometrist CurrentSince Apr 1, 2026 Accepting new patients

Locations

6801 Black Horse Pike
Egg Harbor Twp, NJ 08234
Phone (609) 415-6350

326 W Main St
Freehold, NJ 07728
Phone (732) 561-8551

90 Route 9
Pine Beach, NJ 08741
Phone (732) 531-6300

601 Route 37 W
Ste 2
Toms River, NJ 08755

601 Route 37 W
Toms River, NJ 08755
Phone (732) 244-4400

Interoperability endpoints

  • Direct secure messaging: dbrooksbank@oei.intellechartdirect.net
  • Direct secure messaging: dbrooksbank@oei1944.srs-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1538136403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ROUTE 37 WEST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558050",
            "telephone_number": "732-244-4400",
            "fax_number": "732-505-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ROUTE 37 WEST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558050",
            "telephone_number": "732-244-4400",
            "fax_number": "732-505-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKSBANK",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00551800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410040050",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.