Brown Eyecare LLC

Organization Active NPI Optometrist · Mansfield, OH

NPI 1780058396 · NPPES record last updated Jun 17, 2025

Key facts

NPI
1780058396
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
OH4548 (OH)
Legal business name
BROWN EYECARE LLC
Practice address
1260 Lexington Ave
Mansfield, OH 44907-2675
Phone
(419) 525-1207
Fax
(419) 525-0030
NPI assigned
Nov 19, 2015
Organization subpart
No

Authorized official

Name
Dr. Kevin Lloyd Brown, O.D., M.S.
Title
Owner/Optometrist
Phone
(419) 525-1207

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kevin L Brown OD Ms
1260 Lexington Ave, Mansfield, OH 44907-2675 · (419) 525-1207
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignment
Participating since Jan 1, 2021

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20151125000144 OH Part B Supplier - Clinic/Group Practice 2668772526 Receives reassigned benefits from 4 practitioners
Practice locations: Mansfield, OH
O20160331000182 OH DME Supplier - Physician - Optometrist 2668772526 Practice locations: Mansfield, OH

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X OH4548 OH Yes

Addresses

Primary practice location

1260 Lexington Ave
Mansfield, OH 44907-2675

Mailing address

1260 Lexington Ave
Mansfield, OH 44907-2675
Phone (419) 525-1207

Other providers in Mansfield, OH

All providers in Mansfield, OH · Optometrist in Ohio

Sources for this page

Verify at the official NPI Registry.