Organization Active NPI

Brooks Eye Center Inc

  • Optometrist
  • Columbus, MS
National Provider Identifier
1639280274
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
455 Issued in MS
Legal business name
BROOKS EYE CENTER INC
Practice address
3545 Bluecutt Rd
Columbus, MS 39705-1324
Phone
(662) 327-2020
Fax
(662) 327-6222
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
James E Brooks, ODNPI 1972590859
Title
Owner
Phone
(662) 327-2020

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 455 MS Primary

Addresses

Primary practice location

3545 Bluecutt Rd
Columbus, MS 39705-1324

Mailing address

3545 Bluecutt Rd
Columbus, MS 39705-1324
Phone (662) 327-2020

Other identifiers 1

IdentifierTypeStateIssuer
00087860MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051020000781 MS Part B Supplier - Clinic/Group Practice 3870519655 Receives reassigned benefits from 3 practitioners
Practice locations: Columbus, MS
O20100930060859 MS DME Supplier - Physician - Optometrist 3870519655 Practice locations: Columbus, MS

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brooks Eye Center Inc3545 Bluecutt Rd, Columbus, MS 39705-1324(662) 327-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 1, 2004

National Provider Directory

National Provider Directory

Locations

3545 Bluecutt Rd
Columbus, MS 39705
Phone (662) 327-2020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1639280274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 BLUECUTT RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051324",
            "telephone_number": "662-327-2020",
            "fax_number": "662-327-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 BLUECUTT RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051324",
            "telephone_number": "662-327-2020",
            "fax_number": "662-327-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-327-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087860",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.