Pro-Vision Eye Health, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

R132TA436 Issued in AL

Legal business name

PRO-VISION EYE HEALTH, LLC

Practice address

205 Graceland Dr
Suite 1
Dothan, AL 36305-7347

Phone

(334) 702-3937

Fax

(334) 702-3938

NPI assigned

Nov 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bryan D Brown, O.D.

Title

Optometrist

Phone

(334) 702-3937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1861646796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRACELAND DR",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057347",
            "telephone_number": "334-702-3937",
            "fax_number": "334-702-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRACELAND DR",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057347",
            "telephone_number": "334-702-3937",
            "fax_number": "334-702-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-VISION EYE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "334-702-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R132TA436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Dothan, AL
• Providers in Dothan, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.