DR. LUKE DEWEY BROG O.D. NPI 1831262641

NPI Information

  • NPI: 1831262641
  • Provider Name: DR. LUKE DEWEY BROG, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 122 PETERSEN PARKWAY
    SUITE 1
    THAYNE, WY
    ZIP 83127
  • Phone: (307) 883-4678

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NPI Details

DR. Luke Dewey Brog, O.D. is an optometrist in Thayne, WY with 21 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Luke Dewey Brog, O.D. NPI is 1831262641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

122 PETERSEN PARKWAY
SUITE 1
THAYNE, WY
ZIP 83127
Phone: (307) 883-4678

The NPI 1831262641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Imaging of optic nerve (HCPCS:92133)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of retina (HCPCS:92134)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Photography of the retina (HCPCS:92250)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of growth of eyelid (HCPCS:67840)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist296TWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1313773OTHERWYOMINGBLUE CROSS BLUE SHIELD
2V07254MEDICARE UPINWYOMING
320533MEDICARE ID-TYPE UNSPECIFIEDWYOMING
45643540001MEDICARE NSCWYOMING
5285174OTHERWYOMINGALTIUS HEALTH PLANS
65646844OTHERWYOMINGCBSA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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