Individual provider Active NPI

Garry G Brown, O.D.

  • Optometrist
  • Oshkosh, WI
National Provider Identifier
1063574812
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2068 Issued in WI
Practice address
719 Doctors CT
Oshkosh, WI 54901-2077
Phone
(920) 233-0066
NPI assigned
Dec 15, 2006
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2068 WI Primary

Addresses

Primary practice location

719 Doctors CT
Oshkosh, WI 54901-2077

Mailing address

PO Box 2623
Oshkosh, WI 54903-2623
Phone (920) 236-4162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000578 WI Practitioner - Optometry 6901939388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Eye AssociatesGroup PAC ID 5395633580, 25 clinicians

Practice addresses (Care Compare)

719 Doctors CT
Oshkosh, WI 54901-2077
Phone (920) 235-0066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2068WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Eye Associates Optometrist CurrentSince Apr 5, 2010 Accepting new patients
Ophthalmic Surgery of Wi LTD PastSince Apr 1, 2018 Accepting new patients
Park Place Optical, LTD Past Accepting new patients
Ophthalmic Surgery of Wi LTD Past Accepting new patients

Locations

21 Park Pl
Appleton, WI 54914
Phone (920) 739-4361

2100 S Kensington Dr
Ste 5
Appleton, WI 54915
Phone (920) 358-1820

2500 E Capitol Dr
Ste 3500
Appleton, WI 54911
Phone (920) 358-1820

4648 W Spencer St
Appleton, WI 54914
Phone (920) 731-7557

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

Interoperability endpoints

  • Direct secure messaging: gbrown29555@direct.thedacare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1063574812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2623",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549032623",
            "telephone_number": "920-236-4162",
            "fax_number": "920-236-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 DOCTORS CT",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012077",
            "telephone_number": "920-233-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GARRY",
        "middle_name": "G",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.