Charles Wilson Brooks, OD is a
Optometrist based in Portales, New Mexico. Charles Wilson Brooks is licensed to practice in New Mexico (license number 292) and his current practice location is
201 S Abilene Ave, Portales, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 359-1252.
NPI number for Charles Wilson Brooks is 1538144381 and his current mailing address is 201 S Abilene Ave, Portales, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538144381.
Healthcare Provider's Profile
| Full Name | Charles Wilson Brooks |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
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| Location | 201 S Abilene Ave, Portales, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538144381
- Provider Enumeration Date: 12/14/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Charles Wilson Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538144381 | NPI | - | NPPES |
| NM00P023 | Other | NM | BLUE CROSS BLUE SHIELD PR |
| P0565 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 292 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Wilson Brooks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Charles Wilson Brooks, OD 201 S Abilene Ave, Portales, NM 88130-6207 Ph: (505) 359-1252 | Charles Wilson Brooks, OD 201 S Abilene Ave, Portales, NM 88130-6207 Ph: (505) 359-1252 |
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