Brooke Penn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0004012 Issued in CO

Practice address

529 Saunders Rd
Fort Morgan, CO 80701-3722

Phone

(970) 867-3937

NPI assigned

Feb 16, 2024

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

Enrolled in CO

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zoey K. Loomis, O.D., P.C.Group PAC ID 6800980582, 2 clinicians

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 and National Provider Directory roles.

• Zoey K. Loomis, O.D., P.C.

  • Optometrist
  • Fort Morgan, CO
  • NPI 1467646273
  Medicare reassignment Care Compare group NPD
• Parker Optical, PLLC

  • Optometrist
  • Parker, CO
  • NPI 1306456462
  Medicare reassignment NPD

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1962267252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 W 142ND ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662218061",
            "telephone_number": "913-961-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SAUNDERS RD",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013722",
            "telephone_number": "970-867-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "BROOKE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brita Pate
• Alexandria N Peck, LCSW
• Alexandria Pekarek, PA-C
• Amy Pemberton
• Victoria Pena, ABOC, NCLEC
• Juan Perez-Alonzo
• Jonathon Perez
• Dawn Peters
• PHC Fort Morgan Inc
• PHC-Fort Morgan Inc

• Optometrist in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.