Jordan David Brown, D.O.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

1515 Issued in OR

Practice address

1097 Liberty St SE
Salem, OR 97302-4140

Phone

(503) 581-4411

Fax

(503) 581-4411

NPI assigned

Jul 14, 2005

Reactivated

Mar 31, 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 OR

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

Specialty

Optometry

Education

Southern California College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Salem Eye Clinic

  • Optometrist
  • Salem, OR
  • NPI 1780867739
  Medicare reassignment NPD Authorized official
• Eyecare Associates PC

  • Ophthalmology Physician
  • Albany, OR
  • NPI 1013964113
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1083613848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 ANDREA DR NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043339",
            "telephone_number": "503-581-4411",
            "fax_number": "503-581-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024140",
            "telephone_number": "503-581-4411",
            "fax_number": "503-581-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JORDAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-11-08",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "1515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Brown
• Bonnie Brown
• David Brown, PMHNP-BC
• Esther Eugenia Brown, FNP
• Jeffery C Brown, MD
• Julia Brown
• Kara Brown, CHW
• Karmen Brown
• Lindsey Brown
• Megan Elizabeth Brown, LPN

• Vision Therapy Optometrist in Salem, OR
• Providers in Salem, OR by specialty
• Vision Therapy Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.