Active NPI
David Thomas Brown, O.D.
- Optometrist
- Chillicothe, OH
National Provider Identifier
1396719720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5376
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC2014 | Other | OH | EYEMED |
| 26-3729715 | Other | OH | VISION PLUS |
| 263729715 | Other | OH | VISION SERVICE PLAN (VSP) |
| 3028262 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5376 | OH | MD | Physical Therapist |
| 2014 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Green & Brown Inc | Optometrist | Current | Accepting new patients |
| David T Brown OD LLC | Optometrist | Current | 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.
-
- Optometrist
- Waverly, OH
- NPI 1780473660
-
- Optometrist
- Jackson, OH
- NPI 1760444095
-
- Optometrist
- Waverly, OH
- NPI 1306035142
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.