Individual provider Active NPI

Ronald Craig Brown Sr., O.D.

  • Optometrist
  • Florence, SC
National Provider Identifier
1275558322
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC00657 Issued in SC
Practice address
1911 2ND Loop Rd
Florence, SC 29501-6122
Phone
(843) 662-3912
Fax
(843) 667-4550
NPI assigned
Jul 12, 2006
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SC00657 SC Primary

Addresses

Primary practice location

1911 2ND Loop Rd
Florence, SC 29501-6122

Mailing address

1911 2ND Loop Rd
Florence, SC 29501-6122
Phone (843) 662-3912

Other identifiers 2

IdentifierTypeStateIssuer
1275558322OtherSCRONALD C BROWN SR NPI
D06571MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20031126000271 SC Practitioner - Optometry 1850295205 Practice locations: Florence, SC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1911 2ND Loop Rd
Florence, SC 29501-6122
Phone (843) 662-3912

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC00657SCMDOptometrist
657SCMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1275558322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016122",
            "telephone_number": "843-662-3912",
            "fax_number": "843-662-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016122",
            "telephone_number": "843-662-3912",
            "fax_number": "843-667-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RONALD",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC00657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RONALD C BROWN SR NPI",
            "identifier": "1275558322",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D06571",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.