Individual provider Active NPI

Brooke Omick, OD

  • Optometrist
  • Harlingen, TX
National Provider Identifier
1649998741
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10688 Issued in TX
Practice address
2405 N Ed Carey Dr
Harlingen, TX 78550-8221
Phone
(956) 425-8558
Fax
(956) 425-8838
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10688 TX Primary

Addresses

Primary practice location

2405 N Ed Carey Dr
Harlingen, TX 78550-8221

Mailing address

2405 N Ed Carey Dr
Harlingen, TX 78550-8221
Phone (956) 425-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230609002496 TX Practitioner - Optometry 7911364716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2405 N Ed Carey Dr
Harlingen, TX 78550-8221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10688TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harlingen Eye Clinic Optometrist CurrentSince Sep 4, 2022 Accepting new patients

Locations

2405 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 425-8558

Organizations & group practices 2

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1649998741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508221",
            "telephone_number": "956-425-8558",
            "fax_number": "956-425-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508221",
            "telephone_number": "956-425-8558",
            "fax_number": "956-425-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMICK",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.