Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES WILSON BROOKS, O.D.
ActiveCHARLES WILSON BROOKS, O.D. is a Optometrist healthcare provider located in PORTALES, New Mexico. NPI 1538144381 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PORTALES, NM
Registration Details
- NPI Number
- 1538144381
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2005 (20.632669399979 yrs)
- Last Updated
- Jul 9, 2007
- License
-
292 (NM)
Practice Information
- Address
-
201 S ABILENE AVEPORTALES, NM, 881306207Browse NM providers · Browse ZIP 88130
- Phone
- 5053591252
- Fax
- 5053592601
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.