Beth Lisa Brooks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG1383 Issued in PA

Practice address

8346 Roberts Rd
Elkins Park, PA 19027-2108

Phone

(215) 635-3443

Fax

(215) 635-2992

NPI assigned

Jul 30, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Millis Mobile Eye Care, LLC

  • Optometrist
  • Wyncote, PA
  • NPI 1013592799
  NPD (past)

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

{
    "created_epoch": "1122681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1851391841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8346 ROBERTS RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8346 ROBERTS RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272108",
            "telephone_number": "215-635-3443",
            "fax_number": "215-635-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BETH",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-30",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Anne Breslin, DMD
• Bridging Home Care Inc
• Carol Brockmon, MSW
• Vadim Brodsky
• Kathleen Brogan
• Leanndra Brooks
• Anyae Broomer
• Avrom Stewart Brown, D.O.
• Molly Brown
• Elliot Brownstein, MD

• Optometrist in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.