Grace A. Brown, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3319 Issued in MN

Practice address

7767 Elm Creek Blvd N
Suite 140
Maple Grove, MN 55369-7041

Phone

(763) 416-6501

Fax

(763) 416-6505

NPI assigned

Jun 21, 2012

Last updated

Aug 5, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Star Eye Associates

  • Optometrist
  • Maple Grove, MN
  • NPI 1497057871
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1336402668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7767 ELM CREEK BLVD N",
            "address_2": "SUITE 140",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697041",
            "telephone_number": "763-416-6501",
            "fax_number": "763-416-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7767 ELM CREEK BLVD N",
            "address_2": "SUITE 140",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697041",
            "telephone_number": "763-416-6501",
            "fax_number": "763-416-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GRACE",
        "middle_name": "A.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3263-035",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "61320",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Scott Broman, DC
• Paul Broman, D.C.
• Brook West Family Dentistry PA
• Michael Brooks
• William Clifford Brose, O.D.,
• Patricia Fitzgerald Brown
• Kathleen Brunick, OTR
• Alex Bruning
• Natalie Marie Bruno
• Judy Kay Brunsgaard, LICSW

• Optometrist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.