Brown Optometric Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BROWN OPTOMETRIC CLINIC PC

Practice address

11 Shriner Street
Vermillion, SD 57069-3017

Phone

(605) 624-2020

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin M Brown, OD

Title

President

Phone

(605) 624-2020

Specialties & licenses 1

Addresses

Other names 1

• Prairie Eye Clinic 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.

• Travis Adam Larson, OD

  • Optometrist
  • Vermillion, SD
  • NPI 1538053277
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1831144153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SHRINER STREET",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693017",
            "telephone_number": "605-624-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SHRINER STREET",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693017",
            "telephone_number": "605-624-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN OPTOMETRIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-624-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Beutler, DO
• Zachary Hunter Birchem
• Kristine Lynn Brady, PH.D.
• Kylie Ann Brooks, PHARM D
• Brouwer Speech and Language Therapy
• Kevin M Brown, O.D.
• Meghan Buckman, RD
• Tara Jean Budmayr, PA
• Anthony Burbach
• Susan Mary Burbach, RPH

• All providers in Vermillion, SD
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.