Organization Active NPI

Diane Brown, O.D. P.a.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1861635161
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3642 Issued in FL
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

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Dr. Diane Brown, O.D.NPI 1356479992
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.