Daniel Joseph Brown, OD
Individual provider Active NPI Optometrist · Olney, IL
NPI 1801883129 · NPPES record last updated Aug 31, 2018
Key facts
- NPI
- 1801883129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046007556 (IL)
- Practice address
- 303 E Main St
Olney, IL 62450 - Phone
- (618) 395-2676
- Fax
- (618) 395-2720
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 046007556 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Center of Southwestern Indiana PC | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046007556 | IL | Yes |
Addresses
Primary practice location
303 E Main St
Olney, IL 62450
Mailing address
303 E Main St
Olney, IL 62450-2117
Phone (618) 395-2676
Other providers in Olney, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2018. 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.