MR. JAMES G BROOKS (NPI# 1639302441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639302441 |
| Entity Type | Individual |
| Full Name | MR. JAMES G BROOKS |
| Credential | LDO |
| Practice Address |
3940 Regas Dr Marietta GA 30066-7102 |
| Practice Telephone | 7028829069 |
| Practice Fax Number | 7705658411 |
| Mailing Telephone | 7028829069 |
| Mailing Fax Number | 7705658411 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
143958 | VA | Eye and Vision Services Providers |
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
351 | NV | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
2087 | GA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528296 | James Aaron Brooks | Massage Therapist | 806 Picket Pl, Dayton, OH 45433-1325 | 2020-11-04 |
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1265814693 | James Brooks | Registered Nurse | 1065 Dutch Valley Rd, Washburn, TN 37888-4607 | 2015-06-22 |
| 1447542840 | James D Brooks | Surgery | 13000 Bruce B Downs Blvd Rm 7a-708b, Tampa, FL 33612-4745 | 2011-05-04 |
| 1437377728 | James Richard Brooks | Dentist | 2844 Krafft Rd, Fort Gratiot, MI 48059-3944 | 2007-04-23 |
| 1700928082 | James R Brooks I | Preventive Medicine | 140 S. 77th St., Omaha, NE 68114 | 2007-02-13 |
| 1659420529 | James Locke Brooks IIi | Family Medicine | 118 Laurel Dr, Belle Vernon, PA 15012-0964 | 2007-01-09 |
| 1003870916 | James B Brooks | Pharmacist | 319 Lindell St, Martin, TN 38237 | 2006-04-17 |
| 1194788687 | James G Brooks Jr. | Ophthalmology | 2616 Warm Springs Rd, Columbus, GA 31904 | 2006-04-07 |
| Street Address |
3940 REGAS DR |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619121837 | America's Best Contacts & Eyeglasses | Technician/Technologist | 50 Ernest W. Barrett Pkwy, Ste. 1500, Marietta, GA 30066 | 2008-11-14 |
| 1225204522 | Michele Diane Lee | Technician/Technologist | 935a Jamerson Rd, Marietta, GA 30066-1097 | 2008-05-06 |
| 1184744997 | Hoyt Glaze | Technician/Technologist | 653 Cherokee St, Marietta, GA 30060 | 2007-03-29 |
| 1063538981 | Mark T Bauer | Technician/Technologist | 206 Putnam St, Ste102, Marietta, OH 45750-3042 | 2007-03-22 |
| 1861576951 | Wal-mart Stores East, Lp | Technician/Technologist | 6520 Ernest W Barrett Pkwy Sw, Marietta, GA 30064-4571 | 2006-10-25 |
| 1134203730 | Wal-mart Stores East, Lp | Technician/Technologist | 2795 Chastain Meadows Pkwy, Marietta, GA 30066-3361 | 2006-10-24 |
| 1750464681 | Wal-mart Stores East, Lp | Technician/Technologist | 3100 Johnson Ferry Rd, Marietta, GA 30062-5657 | 2006-10-23 |
| 1538241963 | Wal-mart Stores East, Lp | Technician/Technologist | 210 Cobb Pkwy S, Marietta, GA 30060-6509 | 2006-10-19 |
| 1346321718 | Wal-mart Stores East, Lp | Technician/Technologist | 1785 Cobb Pkwy S, Marietta, GA 30060-9288 | 2006-10-18 |
| 1902991029 | Sam's Club Optical | Technician/Technologist | 150 Cobb Pkwy S, Marietta, GA 30060-9209 | 2006-10-04 |
| Find all providers in MARIETTA | ||||
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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.