Individual provider Active NPI

James Brent Brown, O.D.

  • Optometrist
  • Lagrange, GA
National Provider Identifier
1679626543
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT2100 Issued in GA
Practice address
101 S Dawson St Ste B
Lagrange, GA 30241-3301
Phone
(170) 688-5061
Fax
(706) 885-9129
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT2100 GA Primary

Addresses

Primary practice location

101 S Dawson St Ste B
Lagrange, GA 30241-3301

Mailing address

101 S Dawson St Ste B
Lagrange, GA 30241-3301
Phone (170) 688-5061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070423000140 GA Practitioner - Optometry 4880799782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 S Dawson St
Lagrange, GA 30241-3301
Phone (706) 885-0610

803 New Franklin Rd
Lagrange, GA 30240-1843
Phone (706) 885-0610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Brent Brown & Associates, Inc. Optometrist CurrentSince May 5, 2009 Accepting new patients

Locations

101 S Dawson St
Ste B
Lagrange, GA 30241

101 S Dawson St
Lagrange, GA 30241
Phone (706) 885-0610

803 New Franklin Rd
Lagrange, GA 30240
Phone (706) 812-8456

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1679626543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S DAWSON ST STE B",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413301",
            "telephone_number": "170-688-5061",
            "fax_number": "706-885-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S DAWSON ST STE B",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413301",
            "telephone_number": "170-688-5061",
            "fax_number": "706-885-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAMES",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT2100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.