Thomas M. Brown, O.D.,P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002007 Issued in GA

Legal business name

THOMAS M. BROWN, O.D.,P.C.

Doing business as

Visionary Eyecare

Practice address

840 Glynn St S
Suite 344
Fayetteville, GA 30214-2004

Phone

(770) 716-7414

Fax

(770) 716-7498

NPI assigned

Jul 1, 2008

Last updated

Jan 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Matthew Brown, O.D.NPI 1073606513

Title

Owner/President

Phone

(678) 438-5438

Specialties & licenses 1

Addresses

Other names 1

• Visionary Eyecare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Matthew Brown, O.D.

  • Optometrist
  • Fayetteville, GA
  • NPI 1073606513
  Authorized official Same address or phone

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1811159775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 GLYNN ST S",
            "address_2": "SUITE 344",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142004",
            "telephone_number": "770-716-7414",
            "fax_number": "770-716-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 GLYNN ST S",
            "address_2": "SUITE 344",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142004",
            "telephone_number": "770-716-7414",
            "fax_number": "770-716-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. BROWN, O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "678-438-5438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.