Individual provider Active NPI

Dan Ingram Brown, OPTOMETRIST

  • Optometrist
  • Paris, TX
National Provider Identifier
1720149446
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4064TG Issued in TX
Practice address
1235 NE Loop 286
Paris, TX 75460-2226
Phone
(903) 737-9555
Fax
(903) 785-4172
NPI assigned
Dec 13, 2006
Last updated
Jul 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4064TG TX Primary

Addresses

Primary practice location

1235 NE Loop 286
Paris, TX 75460-2226

Mailing address

1235 NE Loop 286
Paris, TX 75460-2226
Phone (903) 737-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051228000452 TX Practitioner - Optometry 5890717235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1235 NE Loop
Suite 286
Paris, TX 75460-2226
Phone (903) 785-4166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4064TXMDChiropractor
4064TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Vision, P.C. Optometrist CurrentSince Jun 1, 2011 Accepting new patients

Locations

1235 NE Loop 286
Paris, TX 75460
Phone (903) 737-9555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1720149446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602226",
            "telephone_number": "903-737-9555",
            "fax_number": "903-785-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602226",
            "telephone_number": "903-737-9555",
            "fax_number": "903-785-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAN",
        "middle_name": "INGRAM",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4064TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.