Organization Active NPI

Brost & Associates Family Eye Care PC

  • Optometrist
  • Cape Girardeau, MO
National Provider Identifier
1780704643
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02741 Issued in MO
Legal business name
BROST & ASSOCIATES FAMILY EYE CARE PC
Practice address
352 S Broadview St
Cape Girardeau, MO 63703
Phone
(573) 334-8595
Fax
(573) 334-4143
NPI assigned
Apr 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Dr. Kyle E Brost, O.D.
Title
President
Phone
(573) 334-8595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T02741 MO Primary

Addresses

Primary practice location

352 S Broadview St
Cape Girardeau, MO 63703

Mailing address

352 S Broadview St
Cape Girardeau, MO 63703-5703
Phone (573) 334-8595

Other identifiers 3

IdentifierTypeStateIssuer
507273308MedicaidMO
410037380OtherMORAILROAD MEDICARE
507273316MedicaidMO

Other names 2

  • BROST & ASSOCIATES FAMILY EYE CARE PC Former legal business name
  • BROST & STROHMEYER FAMILY EYE CARE PC Other name

National Provider Directory

National Provider Directory

Locations

352 S Broadview St
#F
Cape Girardeau, MO 63703
Phone (573) 334-8595

352 S Broadview St
Cpe Girardeau, MO 63703
Phone (573) 334-8595

519 N Main St
Ste 2
Perryville, MO 63775
Phone (573) 547-1898

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1780704643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035703",
            "telephone_number": "573-334-8595",
            "fax_number": "573-334-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-334-8595",
            "fax_number": "573-334-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROST & ASSOCIATES FAMILY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "BROST",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-334-8595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507273308",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410037380",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507273316",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROST & ASSOCIATES FAMILY EYE CARE PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "BROST & ASSOCIATES FAMILY EYE CARE PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "BROST & STROHMEYER FAMILY EYE CARE PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.