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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 002394 | AZ | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | ARIZONA STATE BOARD | 002394 | 01 |
Street Address |
4502 E OAK ST |
City | PHOENIX |
State | AZ |
Zip Code | 85008-2411 |
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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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 |
Find all providers in zip 85008 |
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 |
---|---|---|---|---|
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 |
Find all providers in PHOENIX |
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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.