Healthcare Provider Details
I. General information
NPI: 1801791959
Provider Name (Legal Business Name): BROOKS FAMILY EYE CARE, OD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1930 GOLDEN SPUR LN STE 101
WENDELL NC
27591-3366
US
IV. Provider business mailing address
8705 DONNINGTON DR
RALEIGH NC
27615-3821
US
V. Phone/Fax
- Phone: 919-617-0560
- Fax: 919-617-0495
- Phone: 919-617-0560
- Fax: 919-617-0495
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
VIKARMA
BROOKS
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 919-617-0560