Organization Active NPI

Brown Vision Care, Inc

  • Optometrist
  • Cumberland, RI
National Provider Identifier
1295065332
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00483 Issued in RI
Legal business name
BROWN VISION CARE, INC
Practice address
3460 Mendon Rd
Cumberland, RI 02864-2139
Phone
(401) 658-4900
Fax
(401) 769-7820
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Mr. George J Brown, ODNPI 1770645525
Title
Owner/Ceo
Phone
(401) 438-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X ODTG00483 RI Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X ODTG00483 RI
Pediatric OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WP0200X ODTG00483 RI
Sports Vision OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WS0006X ODTG00483 RI
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WV0400X ODTG00483 RI
Occupational Vision OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WX0102X ODTG00483 RI

Addresses

Primary practice location

3460 Mendon Rd
Cumberland, RI 02864-2139

Mailing address

3460 Mendon Rd
Cumberland, RI 02864-2139
Phone (401) 658-4900

Other identifiers 1

IdentifierTypeStateIssuer
7003136MedicaidRI

Other names 1

  • Vision Care Cumberland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Brown Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3460 Mendon Rd
Cumberland, RI 02864
Phone (401) 658-4900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1295065332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028642139",
            "telephone_number": "401-658-4900",
            "fax_number": "401-769-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028642139",
            "telephone_number": "401-658-4900",
            "fax_number": "401-769-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN VISION CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "401-438-4447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00483",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "RI",
            "license": "ODTG00483",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "RI",
            "license": "ODTG00483",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "RI",
            "license": "ODTG00483",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "RI",
            "license": "ODTG00483",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "RI",
            "license": "ODTG00483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003136",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Care Cumberland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.