Jordan Trotter Brooks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4115 Issued in FL

Practice address

8890 Salrose LN
Suite #203
Fort Myers, FL 33912-2085

Phone

(239) 313-6011

Fax

(239) 313-6052

NPI assigned

Oct 6, 2006

Last updated

Oct 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Southern College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brooks Eye Care LLC

  • Optometrist
  • Fort Myers, FL
  • NPI 1063841633
  Medicare reassignment NPD Authorized official
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  Medicare reassignment NPD
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1851488241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 SALROSE LN",
            "address_2": "SUITE #203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339122085",
            "telephone_number": "239-313-6011",
            "fax_number": "239-313-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 SALROSE LN",
            "address_2": "SUITE #203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339122085",
            "telephone_number": "239-313-6011",
            "fax_number": "239-313-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JORDAN",
        "middle_name": "TROTTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621160700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Yolanda Bronson, FNP-C
• Brookdale Senior Living Communities, Inc (Brookdale Fort Myers The Colony)
• Brookdale Senior Living Communities, Inc. (Sterling House of Fort Myers)
• Brooks Eye Care LLC
• Crystal Anita Brooks, PH.D.
• Kevin George Brooks, O.D.
• Stephanie Brooks
• Kaira Broomfield
• Kimberly A Brown-Lupia, PHD
• Alan L Brown Jr., M.D.

• Optometrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.