Brooke Lally, OD
Optometrist · Pueblo, CO
Brooke Lally, OD is an optometrist with a practice address in Pueblo, Colorado, and NPI 1063264034, issued on Apr 3, 2024. Check the license (Colorado 0004130, as entered in NPPES) with the Colorado board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Brooke Lally
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License numbers
- 0004130 CO
2025023993 MO
Self-reported in NPPES; status is on the state search - Practice location
- 712 Fortino Blvd, Pueblo, CO 81008
- Phone
- (719) 542-0236
- Enumerated
- Apr 3, 2024
- Record last updated
- Aug 4, 2025
- Medicare enrollment
- Enrolled (PECOS I20250815003185); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 712 Fortino Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Steven Clough, O.D.Optometrist1487673356
- Karen Gacnik, M.S. CCC-AAssistive Technology Practitioner Audiologist1871618108
Verify Brooke Lally in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Colorado board licenses this profession
Search for license 0004130Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Family Eye Center IncorporatedPueblo, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Optometrist providers in Colorado
There are 1,273 optometrist records in Colorado.
Other optometrist records in Colorado
- Kaleb Abbott, ODAurora, CO1396230421
- Amy Abel, O.D.Fort Collins, CO1295724516
- Gregory Abel, O.D.Ft Collins, CO1720077043
- Brian Abert, O.D.Arvada, CO1134383094
- Ritu Abraham, ODAurora, CO1316695489
- Andrew Achziger, O.D.Greeley, CO1487603049
- Alicia Adams, O.D.Denver, CO1790072643
- Heather Adams, ODFrisco, CO1194618934
- Heather Adler, O.D.Northglenn, CO1518266188
- Brianna Aheimer, ODDenver, CO1811874597
Common questions
What is Brooke Lally, OD's NPI number?
Brooke Lally, OD's National Provider Identifier (NPI) is 1063264034, issued on Apr 3, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Brooke Lally, OD located?
The NPPES record lists a practice address at 712 Fortino Blvd, Pueblo, CO, 81008. Phone: (719) 542-0236. Providers update this record themselves, so call before visiting.
How can I verify Brooke Lally, OD's license?
NPPES lists Colorado license number 0004130, as entered by the provider. Search the Colorado board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.