DR. RANDOLPH BROOKS (NPI# 1609853282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609853282 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH BROOKS |
| Credential | O.D. |
| Practice Address |
410 Route 10 Suite 202 Ledgewood NJ 07852-9658 |
| Practice Telephone | 9735842020 |
| Practice Fax Number | 9735844992 |
| Mailing Telephone | 9735842020 |
| Mailing Fax Number | 9735844992 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 27OA00375200 | NJ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013410315 | Randolph Brooks | Counselor | 40 Connecticut Ave, Norwich, CT 06360-1502 | 2018-03-13 |
| Street Address |
410 ROUTE 10 SUITE 202 |
| City | LEDGEWOOD |
| State | NJ |
| Zip Code | 07852-9658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144604745 | Heema Desai Patel | Optometrist | 410 Route 10, Suite 202, Ledgewood, NJ 07852 | 2015-07-13 |
| 1831338102 | Susan Mcmahon Gardner | Optometrist | 410 Route 10, Suite 202 West Ten Plaza, Ledgewood, NJ 07852 | 2009-02-11 |
| 1972548824 | Advanced Eyecare Associates, LLC | Optometrist | 410 Route 10, Suite 202, Ledgewood, NJ 07852-9658 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396677 | Shivaniben Shah | Pharmacist | 461 Rt 10 A100, Ledgewood, NJ 07852 | 2020-11-06 |
| 1730798851 | Wal-mart Stores East, Lp | Technician/Technologist | 461 Rt 10 Suite A100, Ledgewood, NJ 07852 | 2020-07-24 |
| 1700262466 | Danielle Gaeta | Optometrist | 410 State Route 10 West, Suite 202, Ledgewood, NJ 07852 | 2015-08-05 |
| 1639550551 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Woods Edge Dr, Ledgewood, NJ 07852 | 2015-06-16 |
| 1407190523 | Ryan Mark Stenvall | Dentist | 410 Route 10 West, Suite 209, Ledgewood, NJ 07852 | 2012-11-15 |
| 1194020834 | Wanda Ivette Lopez-rodriguez | Nurse Practitioner | 1105 Route 46, Ledgewood, NJ 07852 | 2011-01-11 |
| 1285949750 | Walter Beckford Od | Optometrist | 461 Route 10 Suite 29, Ledgewood, NJ 07852 | 2010-08-09 |
| 1558537233 | Leonard J. Grossman. Md | Exclusive Provider Organization | 1911 Route 46, Ledgewood, NJ 07852 | 2008-05-02 |
| 1164520987 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1105 Rte 46, Ledgewood, NJ 07852 | 2006-09-20 |
| 1548275530 | Walgreen Co | Pharmacy | 1131 Route 46, Ledgewood, NJ 07852 | 2006-07-29 |
| Find all providers in zip 07852 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255846465 | Advanced Eyecare Professionals LLC | Optometrist | 410 State Route 10 Bldg 202, Ledgewood, NJ 07852-9600 | 2017-12-11 |
| 1700262466 | Danielle Gaeta | Optometrist | 410 State Route 10 West, Suite 202, Ledgewood, NJ 07852 | 2015-08-05 |
| 1285949750 | Walter Beckford Od | Optometrist | 461 Route 10 Suite 29, Ledgewood, NJ 07852 | 2010-08-09 |
| 1871741611 | Doreen Helen Caridi | Optometrist | 1 Howard Blvd, Ledgewood, NJ 07852-9507 | 2008-09-05 |
| 1144604745 | Heema Desai Patel | Optometrist | 410 Route 10, Suite 202, Ledgewood, NJ 07852 | 2015-07-13 |
| 1992046528 | Meetal Dhansukh Tailor | Optometrist | 461 Route 10, Suite 29, Ledgewood, NJ 07852-9998 | 2013-03-06 |
| 1184970402 | Rachel Machinas Beneski | Optometrist | 410 State Route 10, Suite 202, Ledgewood, NJ 07852-9658 | 2012-07-24 |
| 1326271545 | B&b Eye Group LLC | Optometrist | 461 State Route 10, Ledgewood Mall, Ledgewood, NJ 07852-9510 | 2009-09-04 |
| 1831338102 | Susan Mcmahon Gardner | Optometrist | 410 Route 10, Suite 202 West Ten Plaza, Ledgewood, NJ 07852 | 2009-02-11 |
| 1972548824 | Advanced Eyecare Associates, LLC | Optometrist | 410 Route 10, Suite 202, Ledgewood, NJ 07852-9658 | 2006-06-17 |
| Find all providers in LEDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.