Organization
BROOKS OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA M BROOKS REGISTERED OPTICIAN (PRESIDENT/OPTICIAN)
(804) 261-0222
Entity
Organization
Contact information
Practice address
5520B LAKESIDE AVE, RICHMOND, VA 23228-5750
(804) 261-0222
Mailing address
5520B LAKESIDE AVE, RICHMOND, VA 23228-5750
(804) 261-0222
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1101 001117
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137414
ANTHEM BC-BS
VA
Enumeration date
12/03/2007
Last updated
04/30/2008
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