Thomas Matthew Brown, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002007 Issued in GA

Practice address

840 Glynn St S
Suite 344
Fayetteville, GA 30214-2004

Phone

(770) 716-7414

Fax

(770) 716-7498

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mark Lynn OD & Associates, PC

  • Optometrist
  • Lithonia, GA
  • NPI 1417055203
  Medicare reassignment NPD
• Crystal Clear Optique

  • Optometrist
  • Fayetteville, GA
  • NPI 1255927240
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1073606513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 GLYNN ST S",
            "address_2": "SUITE 344",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142031",
            "telephone_number": "770-716-7414",
            "fax_number": "770-716-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 GLYNN ST S",
            "address_2": "SUITE 344",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142004",
            "telephone_number": "770-716-7414",
            "fax_number": "770-716-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Thomas Brown III, DMD
• India Brown, OTR/L
• Kelley Brown, MA, LAPC
• Kimberly Brown, DMD
• Pandora G Brown, CERTIFIED HAIR LOSS
• Jessica Brownfield, PT, DPT
• Phillip Earl Brownlee, DDS
• Brubaker Physical Therapy, LLC
• Patricia Perry Brubaker, DPT
• Joy Brumbeloe, CNM

• Optometrist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.