Provider Demographics
NPI:1790939718
Name:BROOKS, CAREY B (OD)
Entity Type:Individual
Prefix:MRS
First Name:CAREY
Middle Name:B
Last Name:BROOKS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 PRESTON RD
Mailing Address - Street 2:SUITE 265
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5175
Mailing Address - Country:US
Mailing Address - Phone:972-519-0006
Mailing Address - Fax:972-519-0669
Practice Address - Street 1:1900 PRESTON RD
Practice Address - Street 2:SUITE 265
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5175
Practice Address - Country:US
Practice Address - Phone:972-519-0006
Practice Address - Fax:972-519-0669
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7327T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist