Taylor R. Brooks, O.D, P.C

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

5555T Issued in TX

Legal business name

TAYLOR R. BROOKS, O.D, P.C

Practice address

1650 W Northwest Hwy
Suite 202
Grapevine, TX 76051-8109

Phone

(817) 552-0252

Fax

(817) 552-0255

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Ann Brooks

Title

Office Manager

Phone

(817) 552-0252

Specialties & licenses 1

Addresses

Other names 1

• Brooks Eye Center Doing business as

Locations

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1790088243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W NORTHWEST HWY",
            "address_2": "SUITE 202",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518109",
            "telephone_number": "817-552-0252",
            "fax_number": "817-552-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W NORTHWEST HWY",
            "address_2": "SUITE 202",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518109",
            "telephone_number": "817-552-0252",
            "fax_number": "817-552-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR R. BROOKS, O.D, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-552-0252",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "5555T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Tarbet
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• Marisol Tarin
• Christine Mandana Tavakoli, D.O.
• Orquidea D Tavarez
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• Matthew Ford Taylor, DPT
• Tbi Centers PLLC
• TBS TX LLC
• Teaching Our Youth Excellence

• Preferred Provider Organization in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.