Brook A Vastis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1431 Issued in SC

Practice address

130 Forum Drive Suite 12
Columbia, SC 29229

Phone

(803) 788-8204

Fax

(803) 788-8206

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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.

• Optique

  • Optometrist
  • Fort Mill, SC
  • NPI 1891048872
  Medicare reassignment Care Compare group NPD OPTOMETRIST · SC
• East Coast Optometric, Inc.

  • Optometrist
  • Columbia, SC
  • NPI 1275651382
  NPD (past) OPTOMETRIST

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optique 2 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

• Miss Brook Arrott Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2011.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1811074669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31519 WINTERPLACE PKWY",
            "address_2": "SUITE 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041894",
            "telephone_number": "410-749-1545",
            "fax_number": "410-742-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FORUM DRIVE SUITE 12",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-788-8204",
            "fax_number": "803-788-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASTIS",
        "first_name": "BROOK",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D14312",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOK",
            "last_name": "ARROTT",
            "prefix": "MISS",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edwin James Vartanian, RN BSN
• Vivek Varughese
• Allison Christine Varwig
• Madison Vasquez, RBT
• Robin Vassey
• Nickolas Andrew Vastis, O.D.
• Vikram Reddy Vattipally, MD
• Andrew Douglas Vaughan, M.D.
• Dorothy E. Vaughan, REGISTERED NURSE
• George Dennis Vaughan III, M.D.

• All providers in Columbia, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.