Active NPIIndividual provider

Dr. Randolph Brooks, OD

Optometrist in Ledgewood, New Jersey

NPI Number1609853282
Practice location
410 Route 10, Suite 202, Ledgewood, NJ 07852-9658
Fax
973-584-4992
Last updated
September 25, 2007

Randolph Brooks is an Optometrist based in Ledgewood, NJ. Randolph Brooks practices in Ledgewood, NJ and has the professional credentials of OD. The NPI Number for Randolph Brooks is 1609853282 and holds a License No. 27OA00375200 (NJ). The current practice location address for Randolph Brooks is 410 Route 10, Suite 202, Ledgewood, NJ 07852-9658 and can be reached out via phone at 973-584-2020 and via fax at 973-584-4992.

Provider Profile Details

NPI Number
1609853282
Provider Name
Randolph Brooks
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
410 Route 10, Suite 202, Ledgewood, NJ 07852-9658
Phone Number
973-584-2020
Fax Number
973-584-4992
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
December 27, 2005
Last Update Date
September 25, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
410 Route 10
Suite 202
Ledgewood, NJ 07852-9658
Zip
07852-9658
Phone Number
973-584-2020
Fax Number
973-584-4992
Ledgewood, NJ 07852Get directions →

Provider Business Mailing Address Details

Address
410 Route 10
Suite 202
Ledgewood, NJ 07852-9658
City
Ledgewood
State
NJ
Zip
07852-9658
Phone Number
973-584-2020
Fax Number
973-584-4992

License Information

License Number
27OA00375200
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Randolph Brooks, OD?

The NPI number of Dr. Randolph Brooks, OD is 1609853282. It was assigned on December 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Randolph Brooks, OD?

Dr. Randolph Brooks, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00375200.

Where does Dr. Randolph Brooks, OD practice?

The practice location is 410 Route 10, Suite 202, Ledgewood, NJ 07852-9658. The office can be reached at 973-584-2020 (phone) or 973-584-4992 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609853282 directly on the NPPES registry website.

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