NPIMap

Organization Active NPI

Brown Eyecare PA

Doing business as Island Optique

  • Corneal and Contact Management Optometrist
  • Fleming Island, FL
National Provider Identifier
1144491242
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC3321 Issued in FL
Legal business name
BROWN EYECARE PA
Doing business as
Island Optique
Practice address
4605 US Highway 17
Suite 1
Fleming Island, FL 32003-4829
Phone
(904) 269-8161
Fax
(904) 215-4633
NPI assigned
Mar 17, 2008
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Dr. Nichole Yvonne Brown, O.D.NPI 1942373485
Title
Owner
Phone
(904) 269-8161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC3321 FL Primary

Addresses

Primary practice location

4605 US Highway 17
Suite 1
Fleming Island, FL 32003-4829

Mailing address

4605 US Highway 17
Suite 1
Fleming Island, FL 32003-4829
Phone (904) 269-8161

Other names 1

  • Island Optique Doing business as

National Provider Directory

National Provider Directory

Locations

4605 US Highway 17
Ste 1
Orange Park, FL 32003
Phone (904) 269-8161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1144491242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 US HIGHWAY 17",
            "address_2": "SUITE 1",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034829",
            "telephone_number": "904-269-8161",
            "fax_number": "904-215-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 US HIGHWAY 17",
            "address_2": "SUITE 1",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034829",
            "telephone_number": "904-269-8161",
            "fax_number": "904-215-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-269-8161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC3321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Optique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.