Charles W. Brooks, O.d., P.c.

NPI #1508035817 in Portales, New Mexico

Provider Information

NPI Number: 1508035817
Entity Type: Organization
Organization Name: Charles W. Brooks, O.d., P.c.
Primary Specialty: Optometrist
Enumeration Date: Feb 21, 2008
Last Updated: Feb 21, 2008

Practice Location

Address: 201 S ABILENE AVE
City: Portales
State: New Mexico
ZIP Code: 88130-6207
Phone: (575) 359-1252

Authorized Official

Name: DR. CHARLES W. BROOKS, O.D.
Title: PRESIDENT
Phone: (575) 359-1252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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