Active NPI
Jeffrey H Brown Optometry P C
- Clinic/Center
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 8065T
- Legal business name
- JEFFREY H BROWN OPTOMETRY P C
- Practice address
- 1175 Baker St
E-16
Costa Mesa, CA 92626-4101 - Phone
- (714) 979-1811
- Fax
- (714) 979-2025
- NPI assigned
- Jun 9, 2011
- Last updated
- Jun 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey H Brown, O.D
- Title
- Owner
- Phone
- (714) 979-1811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 8065T | CA | Primary |
Addresses
Primary practice location
1175 Baker St
E-16
Costa Mesa, CA 92626-4101
Mailing address
1175 Baker St
E-16
Costa Mesa, CA 92626-4101
Phone (714) 979-1811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0080650 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1175 Baker St
Ste E16
Costa Mesa, CA 92626
Phone (714) 979-1811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Corneal and Contact Management Optometrist
- Costa Mesa, CA
- NPI 1891853917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307577600000",
"number": "1457646226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 BAKER ST",
"address_2": "E-16",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264101",
"telephone_number": "714-979-1811",
"fax_number": "714-979-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 BAKER ST",
"address_2": "E-16",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264101",
"telephone_number": "714-979-1811",
"fax_number": "714-979-2025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY H BROWN OPTOMETRY P C",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-979-1811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "8065T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0080650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.