Individual
DR. LISA R. BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
119 N. ANKENY BLVD, EYE MART OPTICAL, ANKENY, IA 50023
(515) 965-8858
(515) 965-7966
Mailing address
1134 SE MILL POND CT, VERACITY, PC, ANKENY, IA 50021
(515) 964-0050
(515) 255-8002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02210
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260315
—
IA
01
—
45555
BLUE CROSS
IA
Enumeration date
02/13/2006
Last updated
04/27/2017
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