Robert Brakke, O.D.
Optometrist in Tacoma, WA. Individual provider (NPI-1).
NPI number1346396173
StatusActive
Last updated in NPPESMay 9, 2008
Details
- NPI
- 1346396173
- Entity type
- Individual (NPI-1)
- Name
- Robert Brakke
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2007
- Last updated
- May 9, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OD00000955 | WA | Yes |
Practice location
5821 Sprague CourtTacoma, WA 98409
Phone 253-456-4120
Mailing address
Po Box 34584Seattle, WA 98124
Phone 509-241-7349 · Fax 509-241-7628
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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