Brooke Lally, OD
NPI 1063264034 · Optometrist · Pueblo, CO
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brooke Lally, OD is a Optometrist provider in Pueblo, CO (NPI 1063264034).
Provider details
- NPI number
- 1063264034
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 2025023993 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 332 S Orchard Springs Dr Ste 120Pueblo West, CO 81007-6154Phone: (719) 547-7709
Registry dates
- Enumerated
- 2024-04-03
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Frequently asked questions
- What is Brooke Lally's NPI number?
- Brooke Lally's National Provider Identifier (NPI) is 1063264034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brooke Lally's specialty?
- Brooke Lally is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Brooke Lally located?
- Brooke Lally's practice location on file with NPPES is 712 Fortino Blvd, Pueblo, CO 81008-2084.
- What is Brooke Lally's phone number?
- The practice phone number listed in the NPPES registry for Brooke Lally is (719) 542-0236.
- Does Brooke Lally accept Medicare?
- Brooke Lally is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brooke Lally's NPI active?
- Yes — Brooke Lally's NPI (1063264034) is active in the NPPES registry as of the last update on 2025-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.