Individual
THOMAS G BROOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4485 WADSWORTH, #208, WHEAT RIDGE, CO 80033-3310
(303) 422-7068
(303) 422-0775
Mailing address
4485 WADSWORTH, #208, WHEAT RIDGE, CO 80033-3310
(303) 422-7068
(303) 422-0775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9991799
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08009177
—
CO
Enumeration date
09/01/2005
Last updated
02/20/2009
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