Active NPI
Drew J Brooks, OD
- Optometrist
- Brookfield, WI
National Provider Identifier
1619951316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1718
- Practice address
- 2205 N Calhoun Rd
Brookfield, WI 53005-5062 - Phone
- (262) 786-4144
- Fax
- (262) 786-4729
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 1718 | WI | Primary |
Addresses
Primary practice location
2205 N Calhoun Rd
Brookfield, WI 53005-5062
Mailing address
2205 N Calhoun Rd
Brookfield, WI 53005-5062
Phone (262) 786-4144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38514200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Vision Centers | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Milwaukee, WI
- NPI 1669510244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1619951316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 N CALHOUN RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055062",
"telephone_number": "262-786-4144",
"fax_number": "262-786-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 N CALHOUN RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055062",
"telephone_number": "262-786-4144",
"fax_number": "262-786-4729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "DREW",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38514200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}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 Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.