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

Last updated

Dec 28, 2011By the provider in NPPES

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

Other names 1

• Miss Brook Arrott Former name

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

Illinois College of Optometry at Chicago, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OptiqueGroup PAC ID 3072768183, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optique

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

  dba (DBA) H. Rubin Vision Center

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

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

{
    "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": [],
    "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.

• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• 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.