Richard Allen Brooks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

708 Issued in SC

Practice address

2000 Coastal Grand Cir
Space 515
Myrtle Beach, SC 29577-9798

Phone

(843) 839-4678

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902820228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MILLDENHALL RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645148",
            "telephone_number": "843-884-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 COASTAL GRAND CIR",
            "address_2": "SPACE 515",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779798",
            "telephone_number": "843-839-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Leon Brigmon, PA-C
• Angela Maria Brinegar, ANP-C
• Lindsay Jane Brock, RDH, BS, OMT
• Stephen Arnold Bromell Jr.
• Hiram B Brooks, M.D.
• Brookstone Nursing
• Ernest Broome Jr., PHARMACIST
• William Tyler Broome, COTA/L
• Justin Gerard Brothers, M.D.
• Ian Matthew Broussard, D.O.

• Optometrist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.