Individual provider Active NPI

Brooke A Coleman, O.D.

  • Optometrist
  • Hemet, CA
National Provider Identifier
1700040748
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1355TPA Issued in CA
Practice address
3953 W Stetson Ave
Hemet, CA 92545-9687
Phone
(951) 652-4343
Fax
(951) 765-6039
NPI assigned
Jul 17, 2008
Last updated
Dec 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13551 CA
Optometrist 152W00000X OPT1355TPA CA Primary

Addresses

Primary practice location

3953 W Stetson Ave
Hemet, CA 92545-9687

Mailing address

3953 W Stetson Ave
Hemet, CA 92545-9687
Phone (951) 652-4343

Other identifiers 1

IdentifierTypeStateIssuer
OPT13551TOtherCABOARD OF OPTOMETRY

Other names 1

  • Brooke A Coleman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090401000146 CA Practitioner - Optometry 7618034976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16615 Dove Canyon Rd
Suite 105
San Diego, CA 92127-3441
Phone (858) 487-7900

521 E Elder St
Suite 102
Fallbrook, CA 92028-3082
Phone (760) 728-5728

Merit-based Incentive Payment System (MIPS)

Final score
90.53 of 100Reported as group
Quality
88.72
Promoting interoperability
99
Improvement activities
40
Cost
77.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1355TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Eye Specialists a Medical Corp Optometrist CurrentSince Nov 28, 2010 Accepting new patients
Inland Eye Specialists, a Medical Corporation Optometrist CurrentSince Nov 28, 2010 Accepting new patients
Inland Eye Specialists a Medical Corp Optometrist Past Accepting new patients

Locations

521 E Elder St
Ste 102
Fallbrook, CA 92028
Phone (760) 728-5728

27168 Newport Rd
Ste 4
Menifee, CA 92584
Phone (951) 679-0545

25395 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 696-5388

25460 Medical Center Dr
Ste 103
Murrieta, CA 92562
Phone (951) 698-4575

16615 Dove Canyon Rd
Ste 105
San Diego, CA 92127
Phone (858) 487-7900

31950 Temecula Pkwy
Ste B-7
Temecula, CA 92592
Phone (909) 303-0575

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: brooke.coleman.p3@direct.inlandeyespecialists.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1700040748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 W STETSON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459687",
            "telephone_number": "951-652-4343",
            "fax_number": "951-765-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 W STETSON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459687",
            "telephone_number": "951-652-4343",
            "fax_number": "951-765-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BROOKE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13551",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT1355TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OPTOMETRY",
            "identifier": "OPT13551T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "COLEMAN",
            "middle_name": "A",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.