Individual provider Active NPI

David Thomas Brown, O.D.

  • Optometrist
  • Chillicothe, OH
National Provider Identifier
1396719720
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5376 Issued in OH
Practice address
217 Delano Ave
Suite D
Chillicothe, OH 45601-2276
Phone
(740) 772-1105
Fax
(740) 772-1105
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5376 OH Primary

Addresses

Primary practice location

217 Delano Ave
Suite D
Chillicothe, OH 45601-2276

Mailing address

217 Delano Ave
Suite D
Chillicothe, OH 45601-2276
Phone (740) 772-1105

Other identifiers 4

IdentifierTypeStateIssuer
NC2014OtherOHEYEMED
26-3729715OtherOHVISION PLUS
263729715OtherOHVISION SERVICE PLAN (VSP)
3028262MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090723000287 OH Practitioner - Optometry 7214934827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
DRS Green and Brown IncGroup PAC ID 1850324252, 2 clinicians

Practice addresses (Care Compare)

260 E Main St
Jackson, OH 45640-1745
Phone (740) 286-5022

414 W Emmitt Ave
Waverly, OH 45690-1008
Phone (740) 947-8191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5376OHMDPhysical Therapist
2014NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Green & Brown Inc Optometrist CurrentSince Jun 1, 2018 Accepting new patients
David T Brown OD LLC Optometrist CurrentSince Mar 24, 2025 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
Family Vision Care of Waverly Inc Optometrist Past Accepting new patients

Locations

260 E Main St
Jackson, OH 45640
Phone (740) 286-5022

414 W Emmitt Ave
Waverly, OH 45690
Phone (740) 947-8191

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1396719720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 DELANO AVE",
            "address_2": "SUITE D",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012276",
            "telephone_number": "740-772-1105",
            "fax_number": "740-772-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 DELANO AVE",
            "address_2": "SUITE D",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012276",
            "telephone_number": "740-772-1105",
            "fax_number": "740-772-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NC2014",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION PLUS",
            "identifier": "26-3729715",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN (VSP)",
            "identifier": "263729715",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3028262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.