James Meredith Brown, OD
Individual provider Active NPI Optometrist · Waynesboro, PA
NPI 1720163934 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720163934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OE007581T (PA)
- Practice address
- 632 E Main St
Waynesboro, PA 17268 - Phone
- (717) 762-9178
- Fax
- (717) 762-9170
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE007581T | PA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE007581T | PA | Yes |
Addresses
Primary practice location
632 E Main St
Waynesboro, PA 17268
Mailing address
19336 Leitersburg Pike
Hagerstown, MD 21742
Phone (717) 762-9178
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018624130001 | Medicaid | PA | |
| 61586301 | Other | CAREFIRST BCBS OF MD |
Other providers in Waynesboro, PA
- Michael John Bonchonsky
- Sheena Marie Bonebrake
- Whitney Rae Bowers
- Pamela Fox Bradford
- Amanda Brown
- Lindsay Edith Brown
- Michael John Brown Sr.
- Stephen Bui
- Judy Renea Bushey
- May T Cao
All providers in Waynesboro, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.