Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Lally, OD

Individual provider Optometrist · NPI 1063264034

Brooke Lally, OD is an Optometry in Pueblo, Colorado. Qualified in 2025, 1 year ago. Practices with Family Eye Center Incorporated, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Missouri.

Years since qualifying
1
Licensed in
CO, MO
In the registry since
2024
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

712 Fortino Blvd
Pueblo, CO 81008-2084
Phone: (719) 542-0236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 332 S Orchard Springs Dr Ste 120, Pueblo West, CO 81007-6154 — (719) 547-7709

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0004130 (CO)
Optometrist Taxonomy 152W00000X · Licence 2025023993 (MO)

Record details

NPI number1063264034
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address712 Fortino Blvd, Pueblo, CO 81008-2084

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Family Eye Center Incorporated — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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