Alldredge, Brooks Randall
Alldredge, Brooks Randall is an individual health care provider with primary practice located at 8220 San Pedro Dr Ne Suite 220, Albuquerque NM 87113-2476. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Alldredge, Brooks Randall can be contacted via phone (505) 797-4466.Contact Information
Primary practice address
8220 San Pedro Dr Ne Suite 220
Albuquerque NM 87113-2476
Phone: (505) 797-4466
Fax: (505) 797-2275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100001 | Idaho |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ATI2539 | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001864 | Washington |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT-OPT-LIC-2803 | Montana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT589 | New Mexico |
Profile Details
| NPI number | 1154463099 |
|---|---|
| LBN Legal business name | Alldredge, Brooks Randall |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Nov 12th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154463099 | NPPES |
| Idaho | MEDICAID | 8082271700 | |
| Idaho | MEDICAID | 01879341 |
Popular Providers
-
Sullivan-Mee, Michael
1501 San Pedro Dr Se Vamc Eye Clinic 112A, Albuquerque NM 87108-5153 -
Stout, Anthony Paul
Albuquerque Indian Health Center- Optometry Clinic 801 Vassar Dr. N.E., Albuquerque NM 87106 -
Ang, Karlyn Gansel
5343 Wyoming Blvd Ne Suite 2, Albuquerque NM 87109-3199 -
Sanchez, Roy-Daniel J
1600 University Blvd Ne , Albuquerque NM 87102-1724 -
Schmeltzer, Len J.
5343 Wyoming Blvd Ne Suite 2, Albuquerque NM 87109-3199 -
Maiers, Ann T.
5757 Harper Dr Ne , Albuquerque NM 87109 -
Ritz, Nicholas B.
5200 Eubank Blvd Ne Suite A-4, Albuquerque NM 87111-1759 -
Folkman, Jay S
6821 Montgomery Ne Ste C, Albuquerque NM 87109-1444