Organization Name: | BROWN EYECARE PA |
NPI Number: | 1144491242 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICHOLE YVONNE BROWN (OWNER) |
Mailing Address: | 4605 Us Highway 17 Suite 1 Fleming Island |
State: | FL US |
Postal Code: | 320034829 |
Phone Number: | 9042698161 |
Fax Number: | 9042154633 |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 10/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OPC3321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |