Dan Ingram Brown, OPTOMETRIST
Individual provider Active NPI Optometrist · Paris, TX
NPI 1720149446 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1720149446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4064TG (TX)
- Practice address
- 1235 NE Loop 286
Paris, TX 75460-2226 - Phone
- (903) 737-9555
- Fax
- (903) 785-4172
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051228000452 | TX | Practitioner - Optometry | 5890717235 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4064TG | TX | MD | Optometrist |
| 4064 | TX | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Vision, P.C. | Optometrist | Current |
Accepting new patients |
Locations
1235 NE Loop 286
Paris, TX 75460
Phone (903) 737-9555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4064TG | TX | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112333301 | Medicaid | TX |
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.