City of Brookings

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CITY OF BROOKINGS

Doing business as

Brookings Health System Yorkshire Eye Clinic & Optical

Practice address

2311 Yorkshire Dr
Brookings, SD 57006

Phone

(605) 696-8871

NPI assigned

Oct 19, 2006

Last updated

Nov 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Wagner

Title

Cfo

Phone

(605) 696-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookings Health System Yorkshire Eye Clinic & Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• City of Brookings

  dba Brookings Health System

  • Anesthesiology Physician
  • Brookings, SD
  • NPI 1932281029

  O20100930024363

  Same enrollment

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

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1679655765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 22ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062480",
            "telephone_number": "605-696-9000",
            "fax_number": "605-696-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 YORKSHIRE DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57006",
            "telephone_number": "605-696-8871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "SD",
            "postal_code": "570062480",
            "country_code": "US",
            "telephone_number": "605-696-9000",
            "fax_number": "605-696-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF BROOKINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-696-9000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9163910",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookings Health System Yorkshire Eye Clinic & Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Brookings (Brookings Health System)
• City of Brookings (Brookings Health System)
• City of Brookings (Brookings Health System)
• City of Brookings (Brookings Health System)
• City of Brookings (Brookings Health System)
• City of Brookings (Brookings Health System)
• City of Brookings (Brookings Health System)
• City of Brookings (Brookings Health System)
• City of Brookings (Brookings Health System)
• City of Brookings (Avera Medical Group Specialty Care Brookings a Department of Brookings)

• Eyewear Supplier in Brookings, SD
• Providers in Brookings, SD by specialty
• Eyewear Supplier in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.