Active NPI
Diane Brown, O.D. P.a.
- Optometrist
- Jacksonville, FL
National Provider Identifier
1861635161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3642
- Legal business name
- DIANE BROWN, O.D. P.A.
- Practice address
- 13490 Beach Blvd
Jacksonville, FL 32224-0290 - Phone
- (904) 992-4100
- NPI assigned
- Apr 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diane Brown, O.D.
- Title
- Optometrist/President
- Phone
- (904) 992-4100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 3642 | FL | Primary |
Addresses
Primary practice location
13490 Beach Blvd
Jacksonville, FL 32224-0290
Mailing address
13218 Arabella Dr
Jacksonville, FL 32224-1355
Phone (904) 565-1662
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Jacksonville, FL
- NPI 1356479992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616716800000",
"number": "1861635161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13218 ARABELLA DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241355",
"telephone_number": "904-565-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13490 BEACH BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322240290",
"telephone_number": "904-992-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANE BROWN, O.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-16",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
"authorized_official_telephone_number": "904-992-4100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.