James R Brown, OD
Individual provider Active NPI Optometrist · Ripley, MS
NPI 1508938812 · NPPES record last updated Apr 22, 2008
Key facts
- NPI
- 1508938812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 450 (MS)
- Practice address
- 220 E Walnut St
Ripley, MS 38663-2054 - Phone
- (662) 837-3696
- Fax
- (662) 837-0004
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monica Ballard, O.D. PC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 450 | MS | Yes |
Addresses
Primary practice location
220 E Walnut St
Ripley, MS 38663-2054
Mailing address
PO Box 555
Ripley, MS 38663-0555
Phone (662) 837-3696
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00087780 | Medicaid | MS | |
| MS0450 | Other | MS | EYEMED |
| 640619201 | Other | MS | FED EMPLOY I D |
Other names
- Bert Brown
Other providers in Ripley, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.