Organization Active NPI

Dr. Earl S. Brown Professional Corp

  • Optometrist
  • Bay City, TX
National Provider Identifier
1114288909
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2517T Issued in TX
Legal business name
DR. EARL S. BROWN PROFESSIONAL CORP
Practice address
3612 Avenue F
Bay City, TX 77414-7604
Phone
(979) 240-1450
Fax
(979) 244-3122
NPI assigned
Jun 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Dr. Earl Stanley Brown, O.D.
Title
President
Phone
(979) 244-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2517T TX Primary

Addresses

Primary practice location

3612 Avenue F
Bay City, TX 77414-7604

Mailing address

3612 Avenue F
Bay City, TX 77414-7604
Phone (979) 240-1450

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1114288909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774147604",
            "telephone_number": "979-240-1450",
            "fax_number": "979-244-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774147604",
            "telephone_number": "979-240-1450",
            "fax_number": "979-244-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EARL S. BROWN PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-244-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2517T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.