Dr Ryan J Brown PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

02250 Issued in IA

Legal business name

DR RYAN J BROWN PC

Doing business as

Central Iowa Eyecare

Practice address

1202 2ND Ave N
Fort Dodge, IA 50501-4115

Phone

(515) 576-1261

Fax

(515) 576-0224

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ryan James Brown, O.D.NPI 1659333870

Title

Owner

Phone

(515) 576-1261

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Central Iowa Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Ryan J Brown, O.D.

  • Optometrist
  • Fort Dodge, IA
  • NPI 1659333870
  Medicare reassignment Care Compare group NPD Authorized official
• Mary C Oberg, O.D.

  • Optometrist
  • Fort Dodge, IA
  • NPI 1164491312
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1871602771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 2ND AVE N",
            "address_2": "PO BOX 1016",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014115",
            "telephone_number": "515-576-1261",
            "fax_number": "515-576-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014115",
            "telephone_number": "515-576-1261",
            "fax_number": "515-576-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RYAN J BROWN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-576-1261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34895",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05379",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463158",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Iowa Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Doster, CRNA
• Michael Thomas Doster
• Alexandria Doyle, ARNP
• Theresa Doyle, PHARMD
• Dr John Garton
• Breann Drees, MS, LAT, ATC, CSCS
• Steven Drew, CADC
• Nicholas J Drzycimski, D.D.S.
• Marie Joan Duclos
• Rey Exclamador Dumaog

• Optometrist in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.