Individual provider Active NPI

Kevin Brown

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1831121573
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001287 Issued in DE
Practice address
5301 Limestone Rd Ste 223
Wilmington, DE 19808-1265
Phone
(302) 239-1933
Fax
(302) 239-1002
NPI assigned
Jul 6, 2006
Last updated
Jul 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001287 DE Primary

Addresses

Primary practice location

5301 Limestone Rd Ste 223
Wilmington, DE 19808-1265

Mailing address

472 E Main St
Middletown, DE 19709-1462
Phone (302) 376-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20041102000204 DE Practitioner - Optometry 7214999291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

5301 Limestone Rd
Suite 128
Wilmington, DE 19808-1253
Phone (302) 239-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Eye Associates PA Optometrist CurrentSince Jul 1, 2004 Accepting new patients
Center for Advanced Eye Care PastSince Jul 1, 2004 Accepting new patients

Locations

472 E Main St
Middletown, DE 19709

755 N Broad St
Middletown, DE 19709
Phone (302) 376-9200

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

5301 Limestone Rd
Ste 223
Wilmington, DE 19808

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1831121573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091462",
            "telephone_number": "302-376-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LIMESTONE RD STE 223",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081265",
            "telephone_number": "302-239-1933",
            "fax_number": "302-239-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.