Active NPI
Kevin Lloyd Brown, O.D, M.S.
- Optometrist
- Mansfield, OH
National Provider Identifier
1619083714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OH 4548 T1291
- Practice address
- 1260 Lexington Ave
Mansfield, OH 44907 - Phone
- (419) 756-8204
- Fax
- (419) 756-0286
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OH 4548 T1291 | OH | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OH 4548 T1291 | OH | |
| Pediatric Optometrist | 152WP0200X | OH 4548 T1291 | OH |
Addresses
Primary practice location
1260 Lexington Ave
Mansfield, OH 44907
Mailing address
1260 Lexington Ave
Mansfield, OH 44907
Phone (419) 756-8204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019069 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1260 Lexington Ave
Mansfield, OH 44907-2675
Phone (419) 252-1207
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH 4548 T1291 | OH | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Eyecare LLC | Optometrist | Current | Accepting new patients |
| Dr. Donald Brown | Past | Accepting new patients |
Locations
70 Park Ave W
Mansfield, OH 44902
Phone (419) 525-1207
1260 Lexington Ave
Mansfield, OH 44907
Phone (419) 252-1207
Organizations & group practices 2
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.
-
- Optometrist
- Mansfield, OH
- NPI 1780058396
-
- Eyewear Supplier
- Mansfield, OH
- NPI 1851556625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1619083714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 LEXINGTON AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44907",
"telephone_number": "419-756-8204",
"fax_number": "419-756-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 LEXINGTON AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44907",
"telephone_number": "419-756-8204",
"fax_number": "419-756-0286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KEVIN",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "O.D, M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OH 4548 T1291",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OH",
"license": "OH 4548 T1291",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "OH",
"license": "OH 4548 T1291",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019069",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.