Active NPI
Barbara Willis Brown, O.D.
- Optometrist
- Saint Charles, MO
National Provider Identifier
1497966923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02948
- Practice address
- 1592 Country Club Plaza Dr
Saint Charles, MO 63303-3859 - Phone
- (636) 949-2900
- Fax
- (636) 949-2270
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- No
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 | T02948 | MO | Primary |
Addresses
Primary practice location
1592 Country Club Plaza Dr
Saint Charles, MO 63303-3859
Mailing address
2533 Woodson Rd
Saint Louis, MO 63114-5436
Phone (314) 423-3874
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11769916 | Other | MO | CAQH |
| TO2948 | Other | MO | MISSOURI LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T02948 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overland Optical, Inc. | Past | Accepting new patients | |
| Rosen Optometry Associates Inc | Optometrist | Past | Accepting new patients |
| Overland Optical, Inc | Past | Accepting new patients | |
| Rosen Optometry Associates Inc | Optometrist | Past | Accepting new patients |
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.
-
- Optician
- Saint Charles, MO
- NPI 1396833174
-
- Optician
- Saint Louis, MO
- NPI 1457377848
-
- Optometrist
- Saint Louis, MO
- NPI 1215903240
-
- Optometrist
- Saint Louis, MO
- NPI 1548231947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1497966923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2533 WOODSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631145436",
"telephone_number": "314-423-3874",
"fax_number": "888-423-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1592 COUNTRY CLUB PLAZA DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633033859",
"telephone_number": "636-949-2900",
"fax_number": "636-949-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "BARBARA",
"middle_name": "WILLIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11769916",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI LICENSE",
"identifier": "TO2948",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.