City of Brookings

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CITY OF BROOKINGS

Practice address

2311 Yorkshire Dr
Brookings, SD 57006

Phone

(605) 696-8871

NPI assigned

Oct 19, 2006

Organization subpart

No

Name

Mrs. Melissa Wagner

Title

Cfo

Phone

(605) 696-9000

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

• City of Brookings

  • 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

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2019.

{
    "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
• City of Brookings
• City of Brookings
• City of Brookings
• City of Brookings
• City of Brookings
• City of Brookings
• City of Brookings
• City of Brookings
• City of Brookings

• All providers in Brookings, SD
• 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.