DR. BROOKE D KRUMAN


Address: 4502 E Oak St, Phoenix, AZ 85008-2411
Phone: 6028080101

DR. BROOKE D KRUMAN (NPI# 1740824119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740824119
Entity Type Individual
Full Name DR. BROOKE D KRUMAN
Credential OD
Practice Address 4502 E Oak St
Phoenix
AZ 85008-2411
Mailing Address 20000 N 57th Ave
Rm P109
Glendale
AZ 85308-7209
Practice Telephone 6028080101
Mailing Telephone 3607736043
Enumeration Date 2019-10-29
Last Update Date 2020-08-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 002394 AZ Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ ARIZONA STATE BOARD 002394 01

Office Location

Street Address 4502 E OAK ST
City PHOENIX
State AZ
Zip Code 85008-2411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114037710 Costco Wholesale Corporation Pharmacy 4502 E Oak St, Phoenix, AZ 85008 2006-08-30
1245715895 Anne M Feeney Clinical Pharmacology 4502 E Oak St, Phoenix, AZ 85008-2411 2018-09-29
1164934386 Diana Ann Kung Pharmacist 4502 E Oak St, Phoenix, AZ 85008-2411 2017-10-27
1669901534 Elizabeth Hundelt Optometrist 4502 E Oak St, Phoenix, AZ 85008-2411 2017-06-05
1063804771 Costco Wholesale Corporation Hearing Aid Equipment 4502 E Oak St, Phoenix, AZ 85008-2411 2015-03-04
1881084937 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 4502 E Oak St, Phoenix, AZ 85008-2411 2015-01-28
1528404738 Shenouda A Keriacous Pharmacist 4502 E Oak St, Phoenix, AZ 85008-2411 2013-05-14
1790096337 Siva Kumar Kamineni Pharmacist 4502 E Oak St, Phoenix, AZ 85008-2411 2010-06-29
1346563293 Joseph Anthony Pinto Pharmacist 4502 E Oak St, Phoenix, AZ 85008-2411 2010-03-07
1437480795 Tim A Logan Pharmacist 4502 E Oak St, Phoenix, AZ 85008-2411 2010-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821607060 Am Apnea and Tmj LLC Durable Medical Equipment & Medical Supplies 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 2020-07-23
1194341131 Abdulbaril Olandapo Olagunju Student in an Organized Health Care Education/Training Program 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 2020-06-24
1376164632 Abdul Rahman Raed Mustafa Halawa Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 2020-04-28
1245869460 Zachary Masuda Student in an Organized Health Care Education/Training Program Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 2020-04-08
1942840145 Cana Behavior LLC Physical Therapist 2412 N 36 Pl, Phoenix, AZ 85008 2020-01-15
1871158188 Fred Gardezy Student in an Organized Health Care Education/Training Program Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 2019-05-02
1225692346 Navkaran Singh Girgla Student in an Organized Health Care Education/Training Program 2601 East Roosevelt St., Phoenix, AZ 85008 2019-04-24
1316412323 Southwest Human Developement Early Intervention Provider Agency 2850 N 24h Street, Phoenix, AZ 85008 2018-10-05
1558885970 Mona Ridhwan Ziems Midwife 1919 N 31st St, Phoenix, AZ 85008 2017-07-27
1093244451 Shana Cynamon Audiologist 1801 N 37th Pl, Phoenix, AZ 85008 2017-06-08
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689283830 Kelsie Stevens Optometrist 6815 N 19th Ave Ste 130, Phoenix, AZ 85015-1135 2020-07-23
1134747801 National Vision Inc Optometrist 1838 W Bell Rd, Phoenix, AZ 85023-3480 2020-07-09
1770109282 Nathan Jones Optometrist 6135 N 35th Ave Ste 139, Phoenix, AZ 85017-1953 2020-06-20
1447874755 Jenna Derubeis Optometrist 16515 S 40th St Ste 111, Phoenix, AZ 85048-0559 2020-06-02
1184250383 Jhajaira Elizabeth Cadenas Optometrist 3937 W Northview Ave, Phoenix, AZ 85051 2020-03-19
1659927663 National Vision Inc Optometrist 2805 W Agua Fria Fwy Ste 1, Phoenix, AZ 85027-3940 2019-08-15
1588148993 Jillian Ralston Optometrist 112 W Mcdowell Road, Phoenix, AZ 85003 2018-09-20
1932680618 Carefree Eyecare Optometrist 3170 W Carefree Hwy Ste C3c4, Phoenix, AZ 85086-3205 2018-08-22
1710464417 Ngoc Le Optometrist 1650 E Camelback Rd Ste 160, Phoenix, AZ 85016-3947 2018-07-25
1255826681 Eric Bradford Vanausdal Optometrist 15215 S 48th St Ste 180, Phoenix, AZ 85044-9140 2018-06-27
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Competitor

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City PHOENIX
Zip Code 85008

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Dataset Information

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.

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