DR. BROOKE LAUREN REYNOLDS (NPI# 1881035087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881035087 |
| Entity Type | Individual |
| Full Name | DR. BROOKE LAUREN REYNOLDS |
| Credential | O.D. |
| Practice Address |
1259 Main St Imperial MO 63052-3852 |
| Mailing Address |
4305 Butler Hill Rd Saint Louis MO 63128-3718 |
| Practice Telephone | 6364610470 |
| Practice Fax Number | 3148455956 |
| Mailing Telephone | 3144874744 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2013021232 | MO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972153021 | Brooke Reynolds | In Home Supportive Care | 512 Klumac Rd Ste 9, Salisbury, NC 28144-6752 | 2019-09-19 |
| 1376075267 | Brooke Reynolds | Physical Therapist | 2541 Pass Rd, Biloxi, MS 39531-2106 | 2017-03-30 |
| 1598080830 | Brooke Reynolds | Social Worker | 333 Church St, Wrangell, AK 99929-1231 | 2010-03-30 |
| 1437366002 | Brooke Leann Reynolds | Physician Assistant | 7392 Magnolia Ave, #2711, Riverside, CA 92504 | 2007-05-16 |
| Street Address |
1259 MAIN ST |
| City | IMPERIAL |
| State | MO |
| Zip Code | 63052-3852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053455295 | Traci Lynne Hahn | Optometrist | 1259 Main St, Imperial, MO 63052-3852 | 2007-02-19 |
| 1942740212 | Alex Amann | Optometrist | 1259 Main St, Imperial, MO 63052-3852 | 2017-03-06 |
| 1285083543 | Christina Ulrich | Optometrist | 1259 Main St, Imperial, MO 63052-3852 | 2016-06-08 |
| 1639409501 | Clarkson Optometry Inc | Optometrist | 1259 Main St, Imperial, MO 63052-3852 | 2009-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801419601 | Junction Bracing & Pt | Physical Therapist | 4924d Sean Drive, Imperial, MO 63052 | 2020-05-27 |
| 1043869456 | Susan Hawthorne | Technician | 2918 Sunridge Place, Imperial, MO 63052 | 2019-09-09 |
| 1275877805 | Ride On St Louis, Inc. | Residential Treatment Facility, Physical Disabilities | 6008 Windsor Harbor Ln, Imperial, MO 63052 | 2012-11-20 |
| 1861778029 | Kelli Allen | Counselor | 6106 Kensington Court, Imperial, MO 63052 | 2011-11-01 |
| 1972730091 | Laura Ann Bequette | Optometrist | 1259 Main Street Plaza, Imperial, MO 63052 | 2009-06-16 |
| 1437329133 | All Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 5844 Hwy. 61-67, Imperial, MO 63052 | 2008-03-10 |
| 1578029419 | Laura Lea Raineri | Nurse Practitioner | 1254 Main St, Imperial, MO 63052 | 2019-02-15 |
| 1033362900 | Angela Fears | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1437302379 | Mary Peterein | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1780651984 | Charles J Johnson | Chiropractor | 1006 Main Street, Suite B, Imperial, MO 63052 | 2006-03-07 |
| Find all providers in zip 63052 | ||||
| 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 |
|---|---|---|---|---|
| 1972730091 | Laura Ann Bequette | Optometrist | 1259 Main Street Plaza, Imperial, MO 63052 | 2009-06-16 |
| 1053455295 | Traci Lynne Hahn | Optometrist | 1259 Main St, Imperial, MO 63052-3852 | 2007-02-19 |
| 1942740212 | Alex Amann | Optometrist | 1259 Main St, Imperial, MO 63052-3852 | 2017-03-06 |
| 1285083543 | Christina Ulrich | Optometrist | 1259 Main St, Imperial, MO 63052-3852 | 2016-06-08 |
| 1639409501 | Clarkson Optometry Inc | Optometrist | 1259 Main St, Imperial, MO 63052-3852 | 2009-12-28 |
| 1053593897 | David C Quinn | Optometrist | 236 W Allegheny Rd, Imperial, PA 15126-9775 | 2007-12-04 |
| 1578558193 | David Charles Quinn | Optometrist | 236 W Allegheny Rd, Imperial, PA 15126-9775 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553373 | Eye Surgery Consultants LLC | Optometrist | 2530 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2436 | 2020-09-16 |
| 1811500069 | Pec Chesterfield, LLC | Optometrist | 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | 2020-08-27 |
| 1700402500 | Robert William Duncan | Optometrist | 341a N Creek Dr, Festus, MO 63028-2657 | 2020-06-18 |
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013532464 | Novack Vision Care, LLC | Optometrist | 1166 W 103rd St, Kansas City, MO 64114-4511 | 2020-06-11 |
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1275158859 | Krystal Rae Adams Matson | Optometrist | 608 N Maguire St, Warrensburg, MO 64093-1420 | 2020-06-10 |
| 1720601719 | Katelyn Hardy | Optometrist | 601 E Russell Ave Ste A, Warrensburg, MO 64093-9601 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
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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.