NPI 1508035817 · live from the CMS NPI Registry
Charles W. Brooks, O.D., P.C.
Optometrist in Portales, NM. National Provider Identifier 1508035817, active.
NPI record
| NPI | 1508035817 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 201 S Abilene Ave, Portales, NM 88130 |
| Practice phone | 575-359-1252 |
| Enumerated | February 21, 2008 |
| Last updated | February 21, 2008 |
| Authorized official | Charles Brooks, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2292 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.