NPIMap

Organization Active NPI

Carol L. Brown O.D., Inc.

  • Optometrist
  • Sylvania, OH
National Provider Identifier
1013920107
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3926T9 Issued in OH
Legal business name
CAROL L. BROWN O.D., INC.
Practice address
8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone
(419) 885-5300
Fax
(419) 885-5308
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carol L. Brown, O.D.
Title
Owner
Phone
(419) 885-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3926T9 OH Primary

Addresses

Primary practice location

8254 Mayberry SQ N
Sylvania, OH 43560-9457

Mailing address

8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300

Other names 1

  • Personal Eyecare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1013920107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8254 MAYBERRY SQ N",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609457",
            "telephone_number": "419-885-5300",
            "fax_number": "419-885-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 MAYBERRY SQ N",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609457",
            "telephone_number": "419-885-5300",
            "fax_number": "419-885-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL L. BROWN O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-885-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3926T9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.