Bryan Brown, OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRYAN BROWN, OD LLC

Practice address

3900 Dave Ward Drive
Wal-Mart Vision Center
Conway, AR 72034

Phone

(501) 358-0471

Fax

(501) 328-9581

NPI assigned

Sep 12, 2024

Last updated

Sep 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Douglas Brown, ODNPI 1972594323

Title

Owner

Phone

(501) 358-0471

Specialties & licenses 1

Addresses

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.

• Bryan Douglas Brown, O.D.

  • Optometrist
  • Conway, AR
  • NPI 1972594323
  NPD Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1245066414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 DOGWOOD TRL",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720328044",
            "telephone_number": "334-333-3286",
            "fax_number": "501-328-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DAVE WARD DRIVE",
            "address_2": "WAL-MART VISION CENTER",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-358-0471",
            "fax_number": "501-328-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN BROWN, OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-358-0471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yulanda Brown, RECOVERY ASSISTANT
• Natalie Claire Brownd, APRN
• Amy D Broyles, APRN
• Sarah Elizabeth Broyles, PT, DPT
• Lacie Deann Bruick, MSCCCSLP
• Bryan D Fuller MD PA (Natural State OBGYN)
• Brittney Bryan, PT, DPT
• Haley Michelle Bryant, APRN
• Joe Nathan Bryant IV, MHPP
• Kelly Bryant, RECOVERY ASSISTANT

• Optometrist in Conway, AR
• Providers in Conway, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.