Individual provider Active NPI

Mark C Brown, O.D.

  • Optometrist
  • Huntington, WV
National Provider Identifier
1811980949
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WV 740 OD Issued in WV
Practice address
3333 US Route 60
Huntington, WV 25705-2838
Phone
(304) 522-2551
Fax
(304) 522-2544
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X WV 740 OD WV Primary

Addresses

Primary practice location

3333 US Route 60
Huntington, WV 25705-2838

Mailing address

9 Woodhaven Dr
Huntington, WV 25701-9331
Phone (304) 429-6527

Other identifiers 3

IdentifierTypeStateIssuer
2244OtherWVSPECTERA INSURANCE
0150722000MedicaidWV
48693OtherWVDAVIS VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802000724 WV Practitioner - Optometry 0143284307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WV 740 ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Proeyes Optometry, PLLC Optometrist CurrentSince Apr 1, 2023 Accepting new patients
Pro Eyes Optometry Associates, LLC Optometrist Current Accepting new patients

Locations

25 Nichols Dr
Barboursville, WV 25504
Phone (304) 522-2551

1406 US Route 60
Huntington, WV 25705
Phone (304) 522-2551

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811980949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WOODHAVEN DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257019331",
            "telephone_number": "304-429-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052838",
            "telephone_number": "304-522-2551",
            "fax_number": "304-522-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV 740 OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA INSURANCE",
            "identifier": "2244",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150722000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "48693",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.