Organization Active NPI

Dr Daniel J Brown, LTD

  • Optometrist
  • Olney, IL
National Provider Identifier
1467645085
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007556 Issued in IL
Legal business name
DR DANIEL J BROWN, LTD
Practice address
514 W Main St
Olney, IL 62450-1540
Phone
(618) 395-2020
Fax
(618) 395-2020
NPI assigned
Aug 27, 2007
Last updated
Nov 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Dr. Daniel Joseph Brown, O.D.
Title
Owner
Phone
(618) 395-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-007556 IL Primary

Addresses

Primary practice location

514 W Main St
Olney, IL 62450-1540

Mailing address

514 W Main St
Olney, IL 62450-1540
Phone (618) 395-2020

National Provider Directory

National Provider Directory

Locations

514 W Main St
Olney, IL 62450
Phone (618) 395-2020

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1467645085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W MAIN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624501540",
            "telephone_number": "618-395-2020",
            "fax_number": "618-395-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W MAIN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624501540",
            "telephone_number": "618-395-2020",
            "fax_number": "618-395-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DANIEL J BROWN, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-395-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.