Michelle L. Brooks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1711 Issued in SC

Practice address

2672 David H McLeod Blvd
Florence, SC 29501-4042

Phone

(843) 773-2758

Fax

(843) 432-3189

NPI assigned

Jul 23, 2012

Sex

Female

Sole proprietor

Yes

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 SC

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergelt Optometric LLCGroup PAC ID 5092007666, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.brooksod.p1@direct.clemsoneye.nextgenshare.com

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.

• Bergelt Optometric LLC

  • Optometrist
  • Florence, SC
  • NPI 1386002467
  Medicare reassignment Care Compare group NPD
• Harrington Eye Center LLC

  • Optometrist
  • Florence, SC
  • NPI 1043307861
  NPD (past)
• Harrington Eye Center LLC

  • Optometrist
  • Florence, SC
  • NPI 1427432301
  NPD (past)

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760737175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 DAVID H MCLEOD BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014042",
            "telephone_number": "843-773-2758",
            "fax_number": "843-432-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 DAVID H MCLEOD BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014042",
            "telephone_number": "843-773-2758",
            "fax_number": "843-432-3189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 W Cheves St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295014401",
            "country_code": "US",
            "telephone_number": "843-662-0691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Ty'Andra Brockington
• Lisa Lide Brockington
• Shaquanna Maria Brockington, PA-C
• Najlaa Brogdon, RN
• David Brooks, CLINICAL SUPERVISOR
• Nicole Patrice Brooks, MA, LPC
• Brown Family Chiropractic LLC
• Brown Family Chiropractic, LLC
• Carol Lynn Brown-Bulloch, DBA, MN, RN, CQM/OE
• Angel Edwards Brown

• Optometrist in Florence, SC
• Providers in Florence, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.