Brooks, Lisa R.
Brooks, Lisa R. is an sole proprietor health care provider with primary practice located at 119 N. Ankeny Blvd Eye Mart Optical, Ankeny IA 50023. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Brooks, Lisa R. can be contacted via phone (515) 965-8858.Contact Information
Primary practice address
119 N. Ankeny Blvd Eye Mart Optical
Ankeny IA 50023
Phone: (515) 965-8858
Fax: (515) 965-7966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02210 | Iowa |
Profile Details
| NPI number | 1013981638 |
|---|---|
| LBN Legal business name | Brooks, Lisa R. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Apr 27th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013981638 | NPPES |
| Iowa | Other | 45555 | BLUE CROSS |
| Iowa | MEDICAID | 0260315 | BLUE CROSS |
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