DR. BROOKS RANDALL ALLDREDGE (O.D.) – Optometrist, NPI 1154463099

DR. BROOKS RANDALL ALLDREDGE (O.D.) is a healthcare provider. based in Chehalis, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODP-100001 (ID). The NPI Number for DR. BROOKS RANDALL ALLDREDGE (O.D.) is 1154463099

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. BROOKS RANDALL ALLDREDGE (O.D.)
NPI
1154463099
Phone
(360) 242-3008
Address
PO BOX 1506
Enumeration Date
13 February 2007
Last Update Date
12 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
2083857576
Graduation Year
1989 (37 years ago)
PAC ID
5294884730
Group Practice PAC ID
7517864119
Professional Enrollment ID
I20090512000663
Address ID
ID837054159BO2822XAVEX400

Contacts

Secure Messaging
asc.pclialbuquerue.p1@direct.pcli.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:19State licenses:5Other namesUpdated within 12 months

226 OPTOMETRY in NM

Provider Addresses for DR. BROOKS RANDALL ALLDREDGE (O.D.)

  • PO BOX 1506

    CHEHALIS, WA 985320409

    Phone: (360) 242-3008

    Fax: (360) 807-7687

    Type: Mailing

  • 8220 SAN PEDRO DR NE

    SUITE 220

    ALBUQUERQUE, NM 871132476

    Phone: (505) 797-4466

    Fax: (505) 797-2275

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Alcon Vision LLC ($70).

Total Amount

$108

General + Research + Ownership

Payments

5

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090512000663IOptometryIDTBD
I20090513000241IOptometryNMTBD
I20090923000106IOptometryWATBD
I20100208000633IOptometryORTBD
I20150818004326IOptometryCOTBD
I20170503000468IOptometryMTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes346346$0
92136Measurement of corneal curvature and depth of eye167167$0
99214Established patient office or other outpatient visit, 30-39 minutes10599$0
92134Imaging of retina6867$0
92020Exam of the internal drainage system of eye2727$0
View full utilization report →

Insurance plans in this area (ZIP 98532)

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Provider's Procedures

DR. BROOKS RANDALL ALLDREDGE (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYNM92012Eye and medical examination for diagnosis and treatment, established patient8779
OPTOMETRYNM92134Diagnostic imaging of retina2625

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517864119View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WA
-WA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
Certified Registered Nurse Anesthetist (Crna)WA
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YOR
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA

Reviews

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Frequently asked questions

Where can patients find DR. BROOKS RANDALL ALLDREDGE (O.D.)'s NPI?
You can confirm DR. BROOKS RANDALL ALLDREDGE (O.D.) with NPI 1154463099; it appears in the national provider directory.
Does this profile mean DR. BROOKS RANDALL ALLDREDGE (O.D.) is currently active?
Yes — DR. BROOKS RANDALL ALLDREDGE (O.D.) appears active in the national provider directory.
What field does DR. BROOKS RANDALL ALLDREDGE (O.D.) work in?
You can think of DR. BROOKS RANDALL ALLDREDGE (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. BROOKS RANDALL ALLDREDGE (O.D.)?
We surface Chehalis, Washington for DR. BROOKS RANDALL ALLDREDGE (O.D.) based on available NPPES addresses.
How can I contact DR. BROOKS RANDALL ALLDREDGE (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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