National Provider Identifier Database

BROOKS R ALLDREDGE, OD – NPI #1154463099
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.


Contact Information

BROOKS R ALLDREDGE, OD
8220 SAN PEDRO DR NE
SUITE 220
ALBUQUERQUE, NM87113-2476
Phone: 505-797-4466
Fax: 505-797-2275
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for BROOKS R ALLDREDGE

NPI Number 1154463099
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/13/2007
Last updated 11/12/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • ID License #: ODP-100001
  • MT License #: OPT-OPT-LIC-2803
  • NM License #: OPT589
  • OR License #: ATI2539
  • WA License #: OD00001864
  • ID Medicaid: 8082271700
  • NM Medicaid: 01879341
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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