Brooke Pankhurst, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3193 Issued in OK

Practice address

1901 W University Blvd
Durant, OK 74701-3098

Phone

(580) 820-2020

NPI assigned

Apr 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare of Claremore-ClaremoreGroup PAC ID 1456364348, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyecare of Claremore-Claremore

  • Optometrist
  • Claremore, OK
  • NPI 1083654842
  Medicare reassignment Care Compare group NPD
• Insight Eyecare Jenks PLLC

  dba Jenks Vision Center

  • Optometrist
  • Jenks, OK
  • NPI 1215401146
  Medicare reassignment NPD
• Insight Eyecare PLLC

  • Optometrist
  • Glenpool, OK
  • NPI 1619228814
  Medicare reassignment NPD
• RGB Eye Associates,PA

  • Ophthalmology Physician
  • Sherman, TX
  • NPI 1508863994
  Medicare reassignment NPD

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1730823246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 PANTHER LOOKOUT",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747301535",
            "telephone_number": "580-821-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013098",
            "telephone_number": "580-820-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKHURST",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osu Center for Health Sciences (Osu-Aj Kinion E. Whittington, DO Apc)
• Osu Center for Health Sciences (Osu-Aj Elite Integral Staffing, LLC-Durant)
• Emily Elizabeth Owens, RBT
• Taylor Painter
• John Hunter Palesano
• Gabrielle Paredes
• Ally Parham, SLP CF
• Audra Parker, OTR
• Elijah Parker
• Leslie Ann Parker

• Optometrist in Durant, OK
• Providers in Durant, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.