Organization Active NPI

Larry R. Brown, O.D., PC

  • Optometrist
  • Cartersville, GA
National Provider Identifier
1225174980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1436 Issued in GA
Legal business name
LARRY R. BROWN, O.D., PC
Practice address
101 Market Place Blvd
Cartersville, GA 30121-2236
Phone
(770) 386-9022
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry Ray Brown, O.D.NPI 1649253410
Title
President
Phone
(770) 386-9022

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
Optometrist 152W00000X 1436 GA Primary

Addresses

Primary practice location

101 Market Place Blvd
Cartersville, GA 30121-2236

Mailing address

312 Hillside Dr # 1235
Waleska, GA 30183-4220
Phone (770) 386-9022

National Provider Directory

National Provider Directory

Locations

101 Market Place Blvd
Cartersville, GA 30121
Phone (470) 210-1164

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225174980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 HILLSIDE DR # 1235",
            "city": "WALESKA",
            "state": "GA",
            "postal_code": "301834220",
            "telephone_number": "770-386-9022",
            "fax_number": "770-382-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARKET PLACE BLVD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212236",
            "telephone_number": "770-386-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY R. BROWN, O.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-386-9022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.