Active NPI
Ashley Ryan Brooks, O.D.
- Optometrist
- Rogers, AR
National Provider Identifier
1871749929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2633
- Practice address
- 1714 W Walnut St
Rogers, AR 72756-3324 - Phone
- (479) 636-2012
- NPI assigned
- Aug 8, 2008
- Last updated
- Apr 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1 | OK | |
| Optometrist | 152W00000X | 2633 | AR | Primary |
Addresses
Primary practice location
1714 W Walnut St
Rogers, AR 72756-3324
Mailing address
1220 W Elk Rd
Bentonville, AR 72713-7109
Phone (479) 619-8081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1 | OK | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Optical Center, PLLC | Optometrist | Current | Accepting new patients |
| Progressive Eye Center & Boutique | Optometrist | Past | Accepting new patients |
| Roger Totten OD PA | Optometrist | Past | Accepting new patients |
Locations
1714 W Walnut St
Rogers, AR 72756
Phone (479) 636-2012
Organizations & group practices 3
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.
-
- Optometrist
- Rogers, AR
- NPI 1154638153
-
- Optometrist
- North Little Rock, AR
- NPI 1689932915
-
- Optometrist
- Melbourne, AR
- NPI 1932397858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1871749929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 W ELK RD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727137109",
"telephone_number": "479-619-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 W WALNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563324",
"telephone_number": "479-636-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ASHLEY",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "1",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.