Gregory Allen Browning, O.D.
Individual provider Active NPI Optometrist · Kenova, WV
NPI 1477559599 · NPPES record last updated Jul 9, 2008
Key facts
- NPI
- 1477559599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 622 (WV)
- Practice address
- 912 Oak St
Kenova, WV 25530-1423 - Phone
- (304) 453-4072
- Fax
- (304) 453-6172
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100107000168 | WV | Practitioner - Optometry | 9234270604 | Practice locations: Kenova, WV |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 622 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregmar Inc | Current |
Accepting new patients |
Locations
912 Oak St
Kenova, WV 25530
Phone (304) 453-4072
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 622 | WV | Yes |
Addresses
Primary practice location
912 Oak St
Kenova, WV 25530-1423
Mailing address
912 Oak St
Kenova, WV 25530-1423
Phone (304) 453-4072
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015010600 | Medicaid | WV | |
| K333 | Other | KY | BLUE CROSS |
Other providers in Kenova, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.